Kadarisman R S, Marsetio M, Simangunsong L B
Department of Opthalmology, Ciptomangunkusumo Hospital, School of Medicine, University of Indonesia, Jakarta.
Southeast Asian J Trop Med Public Health. 1991 Dec;22 Suppl:99-101.
Ocular toxoplasmosis is a common vision-threatening disease in Indonesia. Diagnosis of this disease is based on characteristic ophthalmoscopic appearances and laboratory findings. Between 1985 and 1989, the authors retrospectively evaluated 41 children under 12 years of age. Thirteen cases had retinal lesions suspected to be toxoplasmosis but the laboratory findings were negative. The remaining 28 children had a total of 41 eyes diagnosed as ocular toxoplasmosis. Of the 41 affected eyes, vision had decreased to finger counting or less in 23 (56%) eyes and to less than 6/15 in 9 (22%) eyes. In five (12.2%) eyes vision was greater than 6/15, and in four (9.8%) eyes the status of vision was unknown. In addition to the usual signs of toxoplasmosis, signs of strabismus and nystagmus were evident in the cases reviewed. Thus, ocular toxoplasmosis should be suspected in patients, particularly children, with those clinical signs.
眼弓形虫病在印度尼西亚是一种常见的威胁视力的疾病。该疾病的诊断基于特征性的眼底镜表现和实验室检查结果。1985年至1989年间，作者对41名12岁以下儿童进行了回顾性评估。13例有疑似弓形虫病的视网膜病变，但实验室检查结果为阴性。其余28名儿童共有41只眼被诊断为眼弓形虫病。在这41只患眼中，23只（56%）眼的视力下降至仅能数指或更差，9只（22%）眼的视力下降至低于6/15。5只（12.2%）眼的视力大于6/15，4只（9.8%）眼的视力情况不明。除了常见的弓形虫病体征外，在所回顾的病例中斜视和眼球震颤体征明显。因此，对于有这些临床体征的患者，尤其是儿童，应怀疑眼弓形虫病。
