Spectral domain optical coherence tomography imaging of punctate outer retinal toxoplasmosis

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10 Scopus citations


Punctate outer retinal toxoplasmosis is a recognized phenotype of this common ocular parasite. We present a case presenting with poor visual acuity, but with prompt treatment regaining excellent vision by the final time point. Imaging demonstrates progression of an active lesion adjacent to an inactive retinal scar with color photography, fluorescein angiography, and Spectral Domain Optical Coherence Tomography (SD-OCT). SD-OCT imaging of the chorioretinal scar demonstrated alternating hypertrophy and atrophy of the retinal pigment epithelium along with a discrete break in Bruch's membrane. At baseline, the active lesion demonstrated a large collection of inflammatory subretinal fluid adjacent to an area of active retinitis. Over time, the subretinal material was found to resolve, there was restoration of the foveal anatomy, and the area of retinitis progressed into a chorioretinal scar.

Original languageEnglish (US)
Pages (from-to)152-156
Number of pages5
JournalSaudi Journal of Ophthalmology
Issue number2
StatePublished - Apr 2014
Externally publishedYes


  • Bruch's membrane
  • Chorioretinal scar
  • Inflammation
  • Retinal pigment epithelium
  • Retinitis
  • Subretinal fluid
  • Toxoplasmosis

ASJC Scopus subject areas

  • Ophthalmology


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