title: Upward extension of an atrophic tract of the retinal pigment epithelium associated with congenital macular toxoplasmosis.
abstract: OBJECTIVE
  To report an unusual case of gravitational atrophic tract of the retinal pigment epithelium in a 20-year old woman.
  
  
  METHODS
  Case Report.
  
  
  RESULTS
  The patient had macular cicatricial congenital toxoplasmic chorioretinitis in both eyes. In the right eye, an atrophic tract of the retinal pigment epithelium originating from the upper margin of the macular scar extended upwards toward the retinal periphery.
  
  
  CONCLUSIONS
  The unusual upward direction of the atrophic tract of retinal pigment epithelium may be explained by the in utero head position during the active phase of the chorioretinal disease.
authors.affiliation: Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
authors.forename: M
authors.initials: M
authors.lastname: Khairallah
authors.forename: A
authors.initials: A
authors.lastname: Ladjimi
authors.forename: R
authors.initials: R
authors.lastname: Messaoud
authors.forename: S
authors.initials: S
authors.lastname: Ben Yahia
authors.forename: K
authors.initials: K
authors.lastname: Hmidi
mesh_terms: D000328:Adult; D001284:Atrophy; D002825:Chorioretinitis / Q000150:complications / Q000469:parasitology; D017439:Cicatrix, Hypertrophic / Q000473:pathology; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006112:Gravitation; D006801:Humans; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D012164:Retinal Diseases / Q000150:complications* / Q000473:pathology; D014125:Toxoplasmosis, Congenital / Q000150:complications* / Q000469:parasitology; D014126:Toxoplasmosis, Ocular / Q000150:complications* / Q000469:parasitology; D014792:Visual Acuity