Punctate outer retinal toxoplasmosis
B. H. Doft and D. M. Gass
Classic ocular toxoplasmosis initially involves inner retinal layers and is
associated with marked vitreous reaction. We encountered three cases of
punctate outer retinal toxoplasmosis, a subset of ocular toxoplasmosis that
is characterized by multifocal gray-white lesions at the level of deep
retina and retinal pigment epithelium and that is associated with little or
no overlying vitreous reaction. Acute lesions may resolve to form fine
granular white dots. Recognition of this uncommon presentation of
toxoplasmosis is important, since there is some evidence that treatment of
toxoplasmosis may be effective.
