Case #35 – Toxoplasmosis

Toxoplasmosis – page 18 of 39

Case 1: Topcon Fundus and OCT Images OS In zones where the RPE is lost, Bruch's membrane is unmasked and easily visible

Toxoplasmosis – page 18 of 392021-04-21T20:17:02+00:00

Toxoplasmosis – page 17 of 39

Case 1: Topcon Fundus Image OS As the vitreal opacity moves, different zones of the retina are partially obscured in sequential images.

Toxoplasmosis – page 17 of 392021-04-21T20:17:13+00:00

Toxoplasmosis – page 16 of 39

Histological Section as Compared to the OCT Image  Although the Photoreceptor Integrity Line, or the PIL (defined as the junction between the inner and outer segments) is barely visible in most histological sections, it is highly prominent in normal SD OCTs. The PIL, as shown above, should be continuous throughout the entire scan

Toxoplasmosis – page 16 of 392021-04-21T20:17:29+00:00

Toxoplasmosis – page 15 of 39

Case 1: Topcon 3D OCT 2D Movie and Fundus Image OS The ERM as revealed in a two dimensional Topcon OCT movie. Note that the membrane is on the surface of the retina.

Toxoplasmosis – page 15 of 392021-04-21T20:17:38+00:00

Toxoplasmosis – page 14 of 39

Case 1: Topcon Fundus Image OS This Topcon fundus photo reveals an epiretinal membrane (ERM) in the macula region which is secondary to the multiple reactivations.

Toxoplasmosis – page 14 of 392021-04-21T20:18:12+00:00

Toxoplasmosis – page 11 of 39

Case 1: Optomap® Color Fundus Image Comparison OS With the more recent optos® system, the disc image far better matches the actual disc appearance and allows assessment of subtle disc attributes. The most recent image was rotated to match the orientation of the first two images.

Toxoplasmosis – page 11 of 392021-04-21T20:18:40+00:00

Toxoplasmosis – page 10 of 39

Case 1: Optomap® Color Fundus Image Comparison OS Only the most recent image reveals the two large areas of vitreal debris which are responsible for the patient's symptoms at this time.

Toxoplasmosis – page 10 of 392021-04-21T20:18:51+00:00