Cordero-Coma M, Pérez E, Calleja S, García Ruiz de Morales J M
Servicio de Oftalmología, Hospital de León, España.
Arch Soc Esp Oftalmol. 2010 Dec;85(12):410-3. doi: 10.1016/j.oftal.2010.10.007. Epub 2011 Feb 19.
We report four patients with both decreased visual acuity and retinochoroidal lesions compatible with ocular toxoplasmosis in which a diagnosis of active toxoplasmic retinochoroiditis or choroidal neovascular membrane was made based on a specifically designed diagnostic screening.
In the context of a compatible clinical picture, with retinochoroidal scars and low grade or absence of inflammation, choroidal neovascular membranes may mimic active toxoplasmic retinochoroiditis and vice-versa. A thorough ophthalmic, serological, and immunological examination (in ocular fluids) may help in the differential diagnosis allowing for proper therapeutic decision-making.
我们报告了4例视力下降且伴有与眼弓形虫病相符的视网膜脉络膜病变的患者，根据专门设计的诊断筛查，确诊为活动性弓形虫性视网膜脉络膜炎或脉络膜新生血管膜。
在伴有视网膜脉络膜瘢痕且炎症程度低或无炎症的相符临床症状背景下，脉络膜新生血管膜可能会酷似活动性弓形虫性视网膜脉络膜炎，反之亦然。全面的眼科、血清学及免疫学检查（眼内液检查）有助于鉴别诊断，从而做出恰当的治疗决策。
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