Dr.LISA SUNNY, L21555, Dr.BHAGYAJYOTHI B.K., Dr.BHAGYAJYOTHI B.K., Dr.Rolika Bansal, Dr.Arvind Tenagi
Introduction:The hallmark of congenital ocular toxoplasmosis is focal necrotising chorioretinitis.Various other ocular symptoms(microphthalmos,juvenile cataract,and strabismus)have been reported.Objective:To report a rare case of a 4 year old child presenting with hydrocephalus and bilateral congenital ocular toxoplasmosis showing chorioretinal atrophic patch on fundoscopy with a rare finding of left eye microphthalmos,microcornea and persistent pupillary membrane. On examination,right eye was within normal limits,left eye was found to be microphthalmic with microcornea,measuring 9 x 8 mm and persistent pupillary membrane,with 15 degrees exotropia.Conclusion:Though the CSF PCR was negative for toxoplasmosis(serology is inconclusive in cases of ocular toxoplasmosis),the chorioretinal atrophic scars along with the microcornea and intracerebral calcification(fulfilling 2 of the three criteria of the pathognomonic triad),points to a very probable diagnosis of congenital toxoplasmosis.
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