A 39-year-old presents with new floaters. Why?
Analysis
In this image, there is evidence of hyperreflectivity in the vitreous. There is an attachment of vitreous to the retina, indicative of a tractional band. There is also thinning of the outer retina. The RPE is elevated. The clinical picture demonstrated a vitreous hemorrhage (video). It was associated with an area of RPE hyperplasia and atrophy.
The patient was diagnosed with toxoplasmosis.
In this tip's accompanying 20 min. video, Dr. Sharma takes you through additional diagnostic imagery as well as:
- Learn the differential diagnosis of vitreous opacification
- How toxoplasmosis can affect the eye
- When to suspect a patient with toxoplasmosis
OCT Tip
Active toxoplasmosis classically presents with vitritis and deep retinal pigmentary changes.
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