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Atypical spherical deposition on vitreoretinal interface associated with toxoplasmic chorioretinitis

Abstract

Purpose

To report the clinical and optical coherence tomography features of spherical deposits associated with recurrent toxoplasmic chorioretinitis.

Methods

Case report.

Results

Atypical, 100 μm to 150 μm, greyish deposits appeared along retinal arteries and veins as well as on the vitreoretinal interface in the macula of a 44-year-old Caucasian woman while she was being treated for recurrent toxoplasmic chorioretinitis with antiparasitic drugs and subconjunctival injection of betamethasone. They disappeared progressively with the systemic use of corticosteroids. Their clinical course was nicely documented by optical coherence tomography.

Conclusions

Greyish spherical deposits on the vitreoretinal interface have been previously described as inflammatory reactions in asymptomatic human T-lymphotropic virus type I (HTLV-1) carriers and in patients with HTLV-1-associated uveitis. For the first time, optical coherence tomography (OCT) provided clinical correlation of this unusual presentation of toxoplasmic chorioretinitis.

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References

  1. Crouch ER Jr, Goldberg MF (1975) Retinal periarteritis secondary to syphilis. Arch Ophthalmol 93:384–387

    Google Scholar 

  2. Gass JMD (1997) Stereoscopic atlas of macular diseases: diagnosis and treatment, 4th edn. Mosby, St Louis, pp 614–622

    Google Scholar 

  3. Nakao K, Ohba N (1996) HTLV-1 associated uveitis revisited: characteristic grey–white, granular deposits on retinal vessels. Br J Ophthalmol 80:719–722

    Google Scholar 

  4. Nakao K, Ohba N, Uemura A, Okubo A, Sameshima M, Hayami K (1998) Grey-white, spherical deposition on retinal vessel associated with acute retinal necrosis and diabetic retinopathy in HTLV-1 carriers. Jpn J Ophthalmol 42:490–494

    Article  CAS  Google Scholar 

  5. Smith JR, Cunningham ET Jr (2002) Atypical presentations of ocular toxoplasmosis. Curr Opin Ophthalmol 13:387–392

    Article  Google Scholar 

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Correspondence to Ann-Pascale Guagnini.

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The authors have no relevant financial interest in this article.

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Guagnini, AP., De Potter, P., Levecq, L. et al. Atypical spherical deposition on vitreoretinal interface associated with toxoplasmic chorioretinitis. Graefe's Arch Clin Exp Ophthalmol 245, 158–160 (2007). https://doi.org/10.1007/s00417-006-0330-6

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  • DOI: https://doi.org/10.1007/s00417-006-0330-6

Keywords

  • Retinochoroiditis
  • Ocular toxoplasmosis
  • Deposits
  • Vitreoretinal interface
  • Posterior uveitis
  • Human T-lymphotropic virus type I