DOI: 10.36347/sjams.2018.v06i11.001

Pages: 4165-4172

Chorioretinitis is the most common form of uveitis of infectious origin (congenital or the incidence remains limited to about 2% of infected patients, it is the first cause of posterior uveitis in France. a series of 927 patients. The diagnosis of ocular toxoplasmosis is essentially clinical. The evolution is towards healing, the prognosis depends on the location of the lesions: severe in case of macular involvement and favorable in case of peripheral impairment. retrospective study conducted in the ophthalmology department B on a series of 16 cases over a period of 9 years (January 2008-October 2016). The average age is 23.5 years old with extremes of 12 to 35 years.It has a slight female predominance. The attack is unilateral in the majority of patients (87.5%). The average consultation time was 5 days, the decrease in visual acuity was the most frequent sign (100%), myodesopsies (50%), visual fog (25%), redness and eye pain (18%) of cases. Fundus examination revealed chorioretinal foci active in all patients (100%), scarring in 62% of cases, active hyalitis (37%) and retinal serous detachment (37%) with papilledema. in 18% of cases and finally thyndall of CA in only 6% of patients. Angiography was performed in all our patients, the toxoplasmic serology was positive in 87.5%, the PCA was performed in 02 patients with a coefficient of desmonts that is> 3 in one patient and not significant in another. 56% of patients were placed on pyrimethamine + sulfadiazine; it was replaced by azithromycin in 2 patients, sulfamethoxazol + trimethoprim in 25% and one patient under azithromycin. Corticosteroids were associated 48 hours after the start of treatment in 75% of cases. Complete healing of all foci between 4 to 6 weeks. Ocular toxoplasmosis is the leading cause of retinochoroiditis of infectious origin. It is sometimes difficult to differentiate between a congenital and acquired form, this is much more common than we thought. The diagnosis is based on the clinic for typi