A Case of Angiographically Angiitis with Acquired Toxoplasmosis in Elderly Patient

ABSTRACT

To described a case of angiographically angiitis with acquired toxoplasmosis in elderly patient. We experienced a 72-year-old male patient who visited our clinic because of insidious decrease of visual acuity and metamorphopsia, inferior visual field defect in left eye. Ophthalmic examination showed a large, white, fluffy, retinal exudative lesion at superior area of optic nerve. We diagnosed a acquired toxoplasmic chorioretinitis developed in elderly patient without any systemic and immunologic diseases by serologic test and fluorescein angiography. Toxoplasmosis should be considered as a cause of diffuse necrotizing chorioretinitis in elderly patients. Older patients may be more susceptible to severe acquired ocular Toxoplasma infections because of age-related decline in cell-mediated immunity and chronic underlying diseases.