Toxoplasma retinitis presenting with macular neurosensory detachment

Background: Ocular toxoploasmosis is a very common cause of posterior uveitis which can affect different parts of the posterior segment. Commonly it causes a retinochoroiditis. Sight threatening lesions can involve the macula, papillomacular bundle or the optic disc. Uncommonly, the macula can be affected by arterial occlusion, neuroretinitis or, neurosensory detachment.
Case Report: We describe a 33 year old healthy male who presented with loss of vision in his right eye. Examination showed macular Toxoplasma focal retinitis with foveal neurosensory detachment. Laboratory tests showed active Toxoplasma infection. Treatment with oral Azithromycin and Prednisolone resulted in recovery of normal visual acuity.
Conclusions: Toxoplasma retinitis can unusually present with macular neurosensory detachment. Prompt recognition and treatment is essential for preservation of vision in these cases.

Keywords: Toxoplasma, Retinitis, macular, detachment