A presumed recurrent toxoplasmosis expressing as a papillitis with an active juxtapapillary
retinochoroiditis focus in the affected eye and a healed retinochoroiditis in the unaffected eye, was strongly suspected in this patient.
Abbreviations GGT - gamma-glutamyl transferase AST - aspartate aminotransferase ALT - alanine aminotransferase ALP - alkaline phosphatase CT - computed tomography JDD - juxtapapillary
duodenal diverticulum The common bile duct was dilated up to 15.32 mm without intraluminal content (Figure 1).
This may be secondary to a small papilla, a large sphincterotomy or a deviated cut, presence of juxtapapillary
diverticula, and less commonly in patients with a Billroth II subtotal gastrectomy.
An acute rise in IOP has also been shown to decrease juxtapapillary
retinal and optic nerve head blood flow proportionally to the quantitative rise in IOP.
Gupta et al., "Pars plana vitrectomy with juxtapapillary
laser photocoagulation versus vitrectomy without juxtapapillary
laser photocoagulation for the treatment of optic disc pit maculopathy: the results of the KKESH International Collaborative Retina Study Group," British Journal of Ophthalmology, vol.
(2) The tumor is generally unilateral and located in juxtapapillary
and macular region.
diverticulum was defined as a duodenal diverticulum close to the papilla, with the oral protrusion of the papilla or the orifice of the papilla located at the rim of the diverticulum and the papilla located inside the diverticulum.
Moreover, the juxtapapillary
diverticulum is strongly associated with choledocholithiasis .
The examination was normal except for a juxtapapillary
pigmented choroidal nevus OS, with overlying drusen, and without orange pigment or subretinal fluid (Figure 1).
Matthews, "Surgical management of pancreaticobiliary disease associated with juxtapapillary
duodenal diverticula: case series and review of the literature," Journal of Gastrointestinal Surgery, vol.
diverticuli and biliary lithiasis," GEN, vol.
Group Defining features A Tumor <3 mm in size B Tumor >3 mm in size or macular Rb location; juxtapapillary
Rb location, clear subretinal fluid [less than or equal to] 3 mm from margin C Tumor with focal seeding: subretinal seeds [less than or equal to] 3 mm from Rb; vitreous seeds [less than or equal to] 3 mm from Rb; subretinal and vitreous seeds [less than or equal to] 3 mm from Rb D Tumor with diffuse seeding: subretinal seeds >3 mm from Rb; vitreous seeds >3 mm from Rb; subretinal and vitreous seeds >3 mm from Rb E Extensive tumor occupying >50% of the globe or neovascular glaucoma; invasion of postlaminar optic nerve, choroid, sclera, orbit, anterior chamber; massive intraocular hemorrhage * Rb: retinoblastoma.