弓形虫性视网膜脉络膜炎

TOXOPLASMIC RETINOCHOROIDITIS

本文介绍了弓形虫性视网膜脉络膜炎16例,其中1例属多灶性与Coats病相似;余为局灶性,多与中心性、渗出性视网膜炎相似。血清抗体IHA均>1:80,并阐述了此病的临床特点及治疗方法,提出对可疑者应作特异血清抗体检查,以便确诊与及时治疗。

Retinochoroiditis is a frequent occular lesion in toxoplasmosis.It may be severe,and even lead to blindness.Sixteen cases of toxoplasmic retinochoroiditis verified through IFA were presented in this paper.Among these cases,1 was of the multifocal type,its appearance being similar to that of the Coats disease; while the other 15 were of the focal type resembling to the central exudative retinitis (Rieger disease) or retincchoroidal scar; Serological finding of all the cases showed a positive IFA titre of>1:80.A combination of pyrimethamine and sulfadiazine as well as spiramycin in addition to dexunethasone had been administered and proved effective.Since toxoplasmosis mostly cccurs as latent and examination of the eye cannot differentiate from other causes of retincchoroiditis,so such cline ical report of toxoplasmic retinochoroiditis was rare with particular reference in our country: The authors claimed that any individual presenting with retinochoroiditis suspected of toxo plasmosis should be subjected to serologic antibody test for establishing diagnosis.