Author
Al-Najaf Health Directorate/Al-Sader Medical City., Al-Najaf Al-Ashraf, Iraq
,
Document Type : Research Paper
Abstract
BACKGROUND:
Ocular toxoplasmosis is an important cause of posterior uveitis worldwide including Iraq.
OBJECTIVE:
To study the clinical manifestations of ocular toxoplasmosis at a referral center in Iraq.
PATIENTS AND METHODS:
Nine months prospective case series study was performed in the outpatient clinic at Ibn Al Haetham teaching eye hospital in Baghdad, Iraq. The diagnosis was mainly clinical supported by serological tests.
RESULTS:
In this study 20 patients were diagnosed with Ocular toxoplasmosis. Primary active, recurrent & an inactive diseases were reported in: 8 patients (40%), 7 patients (35%) & 5 patients (25%) respectively. Unilateral disease was seen in 13 patients (65%), while bilateral disease was seen in 7 patients (35%). The macula was involved in 15 eyes (55.5%). Visual acuity at presentation was: ≤ 6/36 seen in 15 eyes (55.5%). Complications –reported at a rate of (75%)- were include: High IOP, macular edema, optic disc swelling, Choroidal neovascularization & branch retinal vein oclusion.
CONCLUSION:
The commonest type of presentation of ocular toxoplasmosis seen in this study was the primary active retinitis, followed by recurrent disease. Poor visual outcome seen at the end of treatment course was mainly due to macular involvement.
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