Bilateral scar chorioretinitis in a 05 years old girl: Sequelae of congenital toxoplasmosis?

Abstract

Objective: To report a case of bilateral congenital toxoplasmosis responsible for severe irreversible visual impairment while placing particular emphasis on regular monitoring of the prenatal consultation as the only means of prevention and early detection. Observation: It was a 05 years old girl, brought in for consultation by her mother for visually impaired behavior. The eyes exam found visual acuity of 1/10 in the right eye (OD) and counted the fingers in 4 meters with the left eye (OG). The annexes and the anterior segment were without particularities. At the bottom of the eye, we noted in the OD 3 chorioretinal focuses and a large focus (OG); all scarred. Immunoglobulins (Ig) G were positive at 25 IU / ml. congenital toxoplasmic chorioretinitis was retained and the child was referred to the low vision department. Conclusion: chorioretinal involvement is common during congenital toxoplasmosis. Bilateral localization although rare can be responsible for irreversible blindness. Correct monitoring of pregnant women is essential for early detection.