Anatomical and functional outcomes of pars plana vitrectomy for inflammatory epiretinal membrane surgery in healed toxoplasmosis infection

Indian J Ophthalmol. 2018 Oct;66(10):1485-1489. doi: 10.4103/ijo.IJO_364_18.

Abstract

Epiretinal membrane over macula secondary to toxoplasmosis compromises vision. We describe the outcome of pars plana vitrectomy and epiretinal membrane removal after adequate treatment of acute infection. The average age of all four male patients was 36 years (range 20-60 years). Following surgery there was an average three or more lines visual acuity improvement, restoration of foveal contour with reduction in central macular thickness. One patient developed choroidal neovascular membrane postsurgery and was effectively treated with intravitreal bevacizumab. Surgery for ERM secondary to healed toxoplasmosis infection has good anatomical outcome and reasonable visual improvement, when the surgery is done in a quiet eye.

Keywords: Epiretinal membrane; pars plana vitrectomy; toxoplasmosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Epiretinal Membrane / diagnosis
  • Epiretinal Membrane / etiology
  • Epiretinal Membrane / surgery*
  • Eye Infections, Parasitic
  • Humans
  • Macula Lutea / pathology*
  • Male
  • Middle Aged
  • Tomography, Optical Coherence
  • Toxoplasmosis, Ocular / complications*
  • Toxoplasmosis, Ocular / diagnosis
  • Visual Acuity*
  • Vitrectomy / methods*
  • Young Adult