2017, Number 2
Rev Acta Médica 2017; 18 (2)
Clinical serologic state of ocular toxoplasmosis
Borges PSM, Pérez BE, Ayllapan AN, Díaz RA, Bayarte NEM
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ABSTRACTIntroduction: Ocular toxoplasmosis is the first cause of posterior uveitis worldwide, benign parasitic infestation, self-limited and of low risk in immunocompetent people. Objective: To evaluate the clinical-serological state of patients treated for ocular toxoplasmosis. Method: A descriptive and retrospective study was conducted to determine the clinical, epidemiological and serological state of patients with active ocular toxoplasmosis. Results: 64.3 % were women and 35.7 % were men. The age group 38-47 years predominated. In the majority of cases (37.5 %), there were no symptoms. The most frequent lesion was unilateral, peripheral and in the right eye, 32 eyes (47.1 %) did not present complications. The IgM became predominantly positive after 4 weeks, and 27 patients (67.5 %) were seropositive for anti-toxoplasma antibodies. Conclusions: The diagnosis of ocular toxoplasmosis is essentially clinical. The presence of myodesopsias and decrease in unilateral VA were the most common clinical manifestations. Complications associated with the disease were cystoid macular edema, vitreous opacities and epirretinal membranes. The seropositivity to IgG and IgM was high after four weeks, with IgM showing a significant conversion.