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Titre du document / Document title

Clinical manifestations of ocular toxoplasmosis in Yogyakarta, Indonesia: A clinical review of 173 cases

Auteur(s) / Author(s)

SUHARDJO (1) ; PURJANTO TEPO UTOMO (1) ; NURINI AGNI Angela (2) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Uveitis, Infection and Ophthalmo-immunology Subdivision, Department of Ophthalmology, Faculty of Medicine, Gadjah Mada University, Dr Sardjito Hospital, Yogyakarta, INDONESIE
(2) Retina Subdivision, Department of Ophthalmology, Faculty of Medicine, Gadjah Mada University, Dr Sardjito Hospital, Yogyakarta, INDONESIE

Résumé / Abstract

Toxoplasmosis was the most common cause of primary retinochoroiditis. The majority of cases of ocular toxoplasmosis were congenital. However, cases of acquired ocular toxoplasmosis have been reported. The clinical manifestations of congenital ocular toxoplasmosis were choroidal coloboma, strabismus, nystagmus, ptosis, microphthalmia, cataract and enophthalmia. The purpose of this study was to determine the clinical presentation and visual outcome of 173 patients with ocular toxoplasmosis at Dr Sardjito Hospital, Dr Yap Eye Hospital, and private practice during the last six years. A total of 173 subjects were studied - 98 males and 75 females. The ages at which first diagnosis was established ranged from 3 months to 68 years, frequently in young adults and occurring mostly in students. The most-reported chief complaint was blurred vision in 70.5% and floaters in 6.1% of cases. The most frequent clinical manifestations were chorioretinitis (71.2%), macular scars (22.4%), squint (6.4%), congenital cataract (2.8%), nystagmus (6.4%) and atrophic optic papilla (2.8%). Bilateral involvement was found in 32.4% of all patients. The therapeutic outcome showed improvement, especially visual acuity in acute cases (25.6%). However, visual acuity categorized as blindness was 13.9%. The results of the study imply that suddenly blurred vision in the quiet eye in the young adult, squint, and nystagmus in children could be chorioretinal inflammation and scar caused by Toxoplasma gondii.

Revue / Journal Title

Southeast Asian journal of tropical medicine and public health    ISSN  0125-1562   CODEN SJTMAK 

Source / Source

2003, vol. 34, no2, pp. 291-297 [7 page(s) (article)] (26 ref.)

Langue / Language

Anglais

Editeur / Publisher

SEAMO, Regional Tropical Medicine and Public Health Network, Bangkok, THAILANDE  (1970) (Revue)

Mots-clés anglais / English Keywords

Vision disorder

;

Anterior segment disease

;

Lens disease

;

Congenital disease

;

Eyelid disease

;

Oculomotor syndrome

;

Malformation

;

Uvea disease

;

Retinopathy

;

Eye disease

;

Asia

;

Protozoa

;

Apicomplexa

;

Infection

;

Parasitosis

;

Protozoal disease

;

Microphthalmia

;

Strabismus

;

Coloboma

;

Choroid

;

Report

;

Acquired

;

Primary

;

Cause

;

Review

;

Ptosis

;

Nystagmus

;

Cataract

;

Bibliographic review

;

Indonesia

;

Toxoplasma gondii

;

Eye

;

Symptomatology

;

Ocular

;

Congenital toxoplasmosis

;

Chorioretinitis

;

Toxoplasmosis

;

Mots-clés français / French Keywords

Trouble vision

;

Segment antérieur pathologie

;

Cristallin pathologie

;

Maladie congénitale

;

Paupière pathologie

;

Oculomotricité syndrome

;

Malformation

;

Uvée pathologie

;

Rétinopathie

;

Oeil pathologie

;

Asie

;

Protozoa

;

Apicomplexa

;

Infection

;

Parasitose

;

Protozoose

;

Microphtalmie

;

Strabisme

;

Colobome

;

Choroïde

;

Compte rendu

;

Acquis

;

Primaire

;

Cause

;

Article synthèse

;

Ptosis

;

Nystagmus

;

Cataracte

;

Revue bibliographique

;

Indonésie

;

Toxoplasma gondii

;

Oeil

;

Symptomatologie

;

Oculaire

;

Toxoplasmose congénitale

;

Choriorétinite

;

Toxoplasmose

;

Mots-clés espagnols / Spanish Keywords

Trastorno visión

;

Segmento anterior patología

;

Cristalino patología

;

Enfermedad congénita

;

Párpado patología

;

Oculomotricidad síndrome

;

Malformación

;

Uvea patología

;

Retinopatía

;

Ojo patología

;

Asia

;

Protozoa

;

Apicomplexa

;

Infección

;

Parasitosis

;

Protozoosis

;

Microftalmía

;

Estrabismo

;

Coloboma

;

Coroides

;

Informe

;

Adquirido

;

Primario

;

Causa

;

Artículo síntesis

;

Ptosis

;

Nistagmo

;

Catarata

;

Revista bibliográfica

;

Indonesia

;

Toxoplasma gondii

;

Ojo

;

Sintomatología

;

Ocular

;

Toxoplasmosis congénita

;

Coriorretinitis

;

Toxoplasmosis

;

Localisation / Location

INIST-CNRS, Cote INIST : 19778, 35400011286441.0080

Nº notice refdoc (ud4) : 15115356



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