Left optic disc edema and hyperemia drastically decreased together with a marked reduction of the juxtapapillary retinochoroiditis
. Reduction of disc edema and subretinal fluid was concomitantly well documented in OCT (Figure 5a).
The incidence of recurrent toxoplasmic retinochoroiditis
in patients during the follow-up period was 0 out of 15 (0%) in group I and 1 out of 15 (6.7%) in group II.
During his follow-up and treatment of the birdshot retinochoroiditis
the astrocytoma in the right eye did not change in nature.
66.7% patients of toxoplasma retinochoroiditis
had CD4-count between 101 and 200 cells/[mm.sup.3].
Current treatment of toxoplasma retinochoroiditis
: an evidence-based review.
Ocular disorder n (%) Cytomegalovirus retinitis 1 (5.9) Herpes zoster ophthalmicus 2 (11.8) HIV retinal microvasculopathy 10 (58.8) Toxoplasma retinochoroiditis
2 (11.8) Bell's (hemifacial) palsy 1 (5.9) Optic neuritis 1 (5.9) Total 17 (100) Table 2: Comparing mean CD4 counts/viral loads between various ocular disorders manifested.
(16) Ocular pain and loss of visual acuity are common presenting complaints and fundoscopic examinations typically reveals findings consistent with necrotizing retinochoroiditis
. (17,18) Ocular toxoplasmosis is the second most common retinal infection in AIDS; the most common is due to CMV retinitis.
With the typical retinochoroiditis
presentation, toxoplasmosis is easily diagnosed; however, atypic presentations such as neuroretinitis, papillitis, scleritis and acute retinal necrosis have also been reported.
Severe congenital toxoplasmosis can result in hydrocephalus, retinochoroiditis
that affects vision, microcephalus, seizures, hepatosplenomegaly, icterus, psychomotor retardation, and other sequelae (3).
The main symptom observed was retinochoroiditis
, present in 80% of newborns .
(18-21) We have previously reported that susceptibility to toxoplasmic retinochoroiditis
was associated with HLA alleles related with rapid progression to AIDS, (22) and the availability of genetic markers for other AIDS severe complications may discriminate patients with poor prognosis.