Toxoplasmic retinochoroiditis: resolution without treatment of the perilesional satellite dark dots seen by indocyanine green angiography
Détails
ID Serval
serval:BIB_0049065170BA
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Toxoplasmic retinochoroiditis: resolution without treatment of the perilesional satellite dark dots seen by indocyanine green angiography
Périodique
Graefe's Archive for Clinical and Experimental Ophthalmology
ISSN
0721-832X (Print)
Statut éditorial
Publié
Date de publication
06/1998
Volume
236
Numéro
6
Pages
476-8
Notes
Case Reports
Journal Article --- Old month value: Jun
Journal Article --- Old month value: Jun
Résumé
PURPOSE: Satellite dark dots (SDD) seen by indocyanine green angiography (ICGA) around the main retinochoroiditis focus are described in 75% of cases. Whether SDDs represent subclinical infectious foci or just a perilesional inflammatory reaction is not known. The purpose here was to report a case giving additional information on this question. METHODS: We analysed the evolution of ICGA SDDs in a patient with recurrent toxoplasmic retinochoroiditis who received no antitoxoplasmic treatment because the lesion was located outside the areas where treatment is classically recommended. RESULTS: The patient had a recurrence of retinochoroiditis on the nasal aspect of the disc about 2 disc diameters away from the disc. It was decided to observe the recurrence before introducing treatment. Diminution of SDDs occurred by 3 weeks after the initial ICGA, and complete resolution was observed on a follow-up ICG angiogram obtained 8 weeks after the initial visit. CONCLUSION: Resolution of ICGA SDDs in toxoplasmic retinochoroiditis seems to occurring a similar fashion whether or not the retinochoroiditis is treated by anti-toxoplasmic drugs, indicating that SDDs probably represent a non-infectious perilesional inflammatory reaction.
Mots-clé
Acute Disease
Adult
Animals
Antibodies, Protozoan/analysis
Chorioretinitis/diagnosis/etiology/*physiopathology
Choroid/pathology
Coloring Agents/*diagnostic use
*Fluorescein Angiography
Follow-Up Studies
Fundus Oculi
Humans
Indocyanine Green/*diagnostic use
Male
Recurrence
Remission, Spontaneous
Retina/pathology
Toxoplasma/immunology
Toxoplasmosis, Ocular/complications/diagnosis/*physiopathology
Pubmed
Web of science
Création de la notice
28/01/2008 12:45
Dernière modification de la notice
20/08/2019 12:22