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Year : 2019  |  Volume : 14  |  Issue : 2  |  Page : 223-225

Ocular toxoplasmosis presenting as subretinal macrocyst

Ophthalmic Research Center; Department of Ophthalmology, Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Correspondence Address:
Sahba Fekri
Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, No. 23, Paidarfard St., Boostan 9 St., Pasdaran Ave., Tehran 16666
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jovr.jovr_210_16

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Purpose: To report a case of unilateral retinal detachment with a large subretinal macrocyst, representing an atypical presentation of ocular toxoplasmosis. Case Report: A healthy 30-year-old woman presented with a two month history of progressive visual loss in her right eye. Funduscopy revealed vitreous condensations, total retinal detachment with a large subretinal orange-red cystic mass and multiple retinal breaks sealed with surrounding retinal scars. B-scan echography showed a large subretinal cyst with non-homogenous tissue echogenicity. Pars plana deep vitrectomy and complete cyst removal were performed. Histopathologic examination of the excised cyst revealed intraretinal toxoplasma cysts containing bradyzoites. Analysis of intraocular fluids by polymerase chain reaction (PCR) and serologic tests also supported the diagnosis. After six months, the retina was completely attached with no signs of inflammation. Conclusion: Toxoplasma retinochoroiditis should be considered in the differential diagnoses of retinal detachment with subretinal cyst.

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