Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2024 Jun 1;72(6):772-774. doi: 10.4103/IJO.IJO_3341_23. Epub 2024 May 24.
A 33-year-old male presented with unilateral painless vision loss with a history of sub-tenon steroid for the same. The fundus showed an elevated focus of retinochoroiditis with vitritis. On investigating for the cause, polymerase chain reaction test on the anterior chamber tap was found to be positive for Toxoplasma. Such confusing and atypical cases usually produce a clinical dilemma and should be managed in a stepwise manner. Ancillary investigations usually provide a clue to the clinician and should be performed without any hesitation.
一位 33 岁男性因同一疾病接受过眼周皮质类固醇注射,现出现单侧无痛性视力丧失。眼底检查显示脉络膜视网膜炎伴玻璃体炎症的抬高病灶。为了查明病因,在前房穿刺液中进行聚合酶链反应检测,结果显示弓形体阳性。这种令人困惑和非典型的病例通常会产生临床困境,应分阶段进行管理。辅助检查通常为临床医生提供线索,应毫不犹豫地进行。