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Reactivation of ocular toxoplasmosis after pars plana vitrectomy.

AbstractPURPOSE:
To report a case with reactivation of toxoplasma choroiretinitis after pars plana vitrectomy.
PATIENTS AND METHODS:
A 58-year-old female patient was diagnosed with secondary epiretinal membrane in her right eye. Bimanual 23-gauge pars plana vitrectomy and membrane peeling was performed. At first week postoperatively, visual acuity decreased; in slit-lamp examination, there were 3+ cells in the anterior chamber with keratic precipitate. Fundoscopic examination revealed reactivation of chorioretinitis adjacent to the previous scar.
RESULTS:
The patient was diagnosed with reactivation of toxoplasma chorioretinitis and treated with oral trimethoprim-sulfamethoxazole, clindamycin and topical prednisolon acetate, and cyclopentolate drops for 5 weeks. Forty-eight hours after initiation of antibiotics, oral prednisone was added to the regimen and the dose was tapered to zero over the following 5 weeks. After 3 weeks of treatment, lesion was inactivated.
CONCLUSION:
Ocular toxoplasmosis reactivation may develop after pars plana vitrectomy. After intraocular surgery, reactivation of ocular toxoplasmosis should be considered in the follow-up.
AuthorsLeyla Hazar, Cigdem Altan, Berna Basarır, Ahmet T Yazıcı, Gülistan Oyur, Ahmet Demirok
JournalRetinal cases & brief reports (Retin Cases Brief Rep) Vol. 7 Issue 4 Pg. 368-70 ( 2013) ISSN: 1937-1578 [Electronic] United States
PMID25383807 (Publication Type: Journal Article)

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