Macular branch retinal artery occlusion as the first manifestation of ocular toxoplasmosis.
BACKGROUND
Ocular toxoplasmosis can cause a variety of retinal vascular changes including branch retinal arterial occlusion, which is a rare complication of the disease.


METHODS
An unusual toxoplasma chorioretinitis presenting a macular branch retinal arterial occlusion adjacent to the active chorioretinitis lesion is reported.


RESULTS
The patient received an appropriate steroid and antibiotic treatment, and the retinitis lesion resolved over a 6-week period. At 2 months after diagnosis, visual acuity in her left eye was 20/30 and there was a hyperpigmented scar at the site where active retinitis had been observed.


CONCLUSIONS
As this branch vascular obstruction may change the appearance of the fundus and obscure the initial inflammatory focus, ocular toxoplasmosis should be included in the differential diagnosis of branch retinal vascular occlusion associated with posterior uveitis, particularly in young patients.
*Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran; and †Department of Ophthalmology, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Farzan
F
Kianersi
Heshmatollah
H
Ghanbari
Afsaneh Naderi
AN
Beni
Zahra Naderi
ZN
Beni
Hamid
H
Fesharaki
Mostafa
M
Ahmadi