Abstract

Report a case of a male patient with a macular scar compatible with ocular toxoplasmosis (OT) in right eye (RE) and review the relevant literature on this disease. A patient, who attended for a routine contact lens follow up, presented with amblyopic exotropia without any ocular disease. Best-corrected visual acuity of the affected eye was 20/40 with constant and mono-fixation exotropia. Ophthalmoscopic assessment revealed a macular scar compatible with OT. OT is the leading cause of infection in the posterior segment. Inactive cases could be asymptomatic and diagnosis requires a complete eye examination, providing a correct diagnosis and patient management.

Highlights

  • Ocular toxoplasmosis is a non-curable infectious disease mainly caused by the parasite Toxoplasma gondii and is probably the most common cause of posterior segment infection in many countries [1,2]

  • A patient, who attended for a routine contact lens follow up, presented with amblyopic exotropia without any ocular disease

  • Following consideration of patient history and clinical findings the patient was diagnosed with bilateral, moderate myopia and astigmatism, bilateral evaporative dry eye associated with blepharitis, as well as inactive, longstanding ocular toxoplasmoxis in the right eye (RE)

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Summary

Introduction

Ocular toxoplasmosis is a non-curable infectious disease mainly caused by the parasite Toxoplasma gondii and is probably the most common cause of posterior segment infection in many countries [1,2]. Ocular toxoplasmosis primarily affects the retina and the most common ocular manifestation are chorioretinitis (inflammation of the choroid) [1] and posterior uveitis (inflammation of the posterior uveal layers) [2]. Toxoplasmosis can be congenital or acquired [1], with a higher impact in terms of public health and similar ocular morbidity [2,3]. This report summarizes the most relevant aspects of this relatively rare disease related to optometric and primary care provider practice, and describes the (non-expected) findings in a routine follow-up visit of a contact lens (CL) patient

Case Report
Discussion
Toxoplasma Gondii
Prevalence
Transmission Mechanisms and Systemic Disease
Phases of Ocular Toxoplasmosis
Diagnosis of Ocular Toxoplasmosis
Treatment
Findings
Clinical Relevance for Optometrists and Primary Care Providers
Conclusion
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