Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Ocul Immunol Inflamm. 2011 Oct;19(5):307-10. doi: 10.3109/09273948.2011.602501. Epub 2011 Aug 24.
To describe the clinical, optical coherence tomographic, and angiographic findings in patients with acute toxoplasmic retinochoroiditis (RC) associated with serous retinal detachment (SRD).
The study included 60 eyes with acute toxoplasmic RC.
Of 60 eyes, 14 (23.3%) were found to have SRD. The SRD was visible on fundus examination in 6 cases and detectable only by optical coherence tomography (OCT) in the 8 remaining cases. It involved the fovea in 9 eyes. There was evidence of associated choroidal ischemia on fluorescein angiography and indocyanine green angiography in 5 eyes. Findings seen at the acute stage gradually resolved over a period of 2-6 weeks in all patients.
SRD, accurately detected by OCT, is a common complication of acute toxoplasmic RC that should be considered as a potential cause of visual loss. Choroidal ischemia might contribute to the development of such complication.
描述与浆液性视网膜脱离（SRD）相关的急性弓形虫性视网膜炎（RC）患者的临床、光相干断层扫描和血管造影表现。
本研究纳入了 60 只患有急性弓形虫 RC 的眼睛。
在 60 只眼中，发现 14 只（23.3%）存在 SRD。6 只眼通过眼底检查可见 SRD，8 只眼仅通过光相干断层扫描（OCT）检测到。9 只眼累及黄斑。5 只眼的荧光素血管造影和吲哚青绿血管造影显示存在相关脉络膜缺血。所有患者在 2-6 周的时间内，急性阶段的发现逐渐消退。
OCT 准确检测到的 SRD 是急性弓形虫性 RC 的常见并发症，应被视为视力丧失的潜在原因。脉络膜缺血可能导致这种并发症的发生。
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