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Case Rep Ophthalmol. 2021 Apr 16;12(1):259-263. doi: 10.1159/000512286. eCollection 2021.

Toxoplasma Retinochoroiditis with Chorioretinal Neovascularization in a Young Patient.

Case reports in ophthalmology

Nikhila S Khandwala, Robert A Hyde, Cagri G Besirli

Affiliations

  1. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.
  2. Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago, Illinois, USA.

PMID: 34054467 PMCID: PMC8138240 DOI: 10.1159/000512286

Abstract

We present a pediatric case to highlight the clinical appearance and management of choroidal neovascularization in the setting of active toxoplasma retinochoroiditis (TRC). A 17-year-old female presented with 2 days of blurry vision in her left eye. Retinal examination demonstrated a pigmented chorioretinal lesion with associated subretinal fluid, vessel sheathing, and adjacent intraretinal hemorrhage. She was diagnosed with active choroidal neovascularization and successful treatment with bevacizumab revealed an underlying active toxoplasmosis lesion. Choroidal neovascularization may rarely present during an acute case of TRC. Dual therapy with anti-vascular endothelial growth factor antibody and anti-parasitic agents leads to improved visual outcomes.

Copyright © 2021 by S. Karger AG, Basel.

Keywords: Choroidal neovascularization; Retinal lesion; Subretinal fluid; Toxoplasma retinochoroiditis

Conflict of interest statement

The authors have no conflicts of interest to declare.

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