Upward Extension of an Atrophic Tract of the Retinal Pigment Epithelium Associated with Congenital Macular Toxoplasmosis

Abstract

Purpose

To report an unusual case of gravitational atrophic tract of the retinal pigment epithelium in a 20-year old woman.

Methods

Case report

Results

The patient had macular cicatricial congenital toxoplasmic chorioretinitis in both eyes. In the right eye, an atrophic tract of the retinal pigment epithelium originating from the upper margin of the macular scar extended upwards toward the retinal periphery.

Conclusion

The unusual upward direction of the atrophic tract of retinal pigment epithelium may be explained by the in utero head position during the active phase of the chorioretinal disease.