Küçükerdönmez Cem, Yilmaz Gürsel, Akova Yonca A
Department of Ophthalmology, Başkent University School of Medicine, Ankara, Turkey.
Ocul Immunol Inflamm. 2004 Sep;12(3):227-31. doi: 10.1080/092739490500246.
Ocular toxoplasmosis can cause a variety of retinal vascular changes including branch retinal arterial occlusion, which is a rare complication of the disease.
We report a case of toxoplasmic chorioretinitis in a pregnant woman, who developed branch retinal arterial obstruction adjacent to the active chorioretinitis lesion.
The patient received an appropriate steroid and antibiotic treatment and the retinitis lesion resolved over a six-week period. At two months after diagnosis, visual acuity in her right eye was 20/30 and there was a hyperpigmented scar at the site where active retinitis had been observed.
Especially in young patients with branch retinal vascular occlusion associated with posterior uveitis, the diagnosis of ocular toxoplasmosis should be kept in mind and serologic test results should be obtained.
眼部弓形虫病可引起多种视网膜血管改变，包括视网膜分支动脉阻塞，这是该疾病的一种罕见并发症。
我们报告一例孕妇患弓形虫性脉络膜视网膜炎，其在活动性脉络膜视网膜炎病变附近发生了视网膜分支动脉阻塞。
患者接受了适当的类固醇和抗生素治疗，视网膜炎病变在六周内消退。诊断后两个月，她右眼的视力为20/30，在曾观察到活动性视网膜炎的部位有一个色素沉着过度的瘢痕。
尤其是对于伴有后葡萄膜炎的视网膜分支血管阻塞的年轻患者，应考虑眼部弓形虫病的诊断并获取血清学检测结果。
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