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Suggest treatment for ocular toxoplasmosis

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Posted on Wed, 30 Jul 2014
Question: I already got a response to my first question in regards to the nerve in my eye.optic nerve to be exact. I have had a cat scan with XXXXXXX done and the specialist has put me on high dose of peridesone orally and eye drops 4x daily also. They were doing blood work for toxoplasmosis. When the optic nerve is like this do I need surgery? I started out with severe headaches and then the eye was red and swollen.I can still see except for perifferal vision I can't see good to the left side in the bad eye.
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Answered by Dr. Dadapeer K (5 hours later)
Brief Answer:
Treatment of ocular toxoplasmosis is by drugs.

Detailed Answer:
Hello
Welcome to Health care magic.

Toxoplasmosis is one of the common causes for inflammation of the posterior part of the eye and it usaully presents as chorioretinitis. It can also present as toxoplasma optic neuritis or optic neuropathy as in your case.
The diagnosis requires serological tests for toxoplasmosis.
The treatment is by use of steroids and antimicrobial drugs like pyrimethamine and sulphadiazine.

Since you are being investigated for toxoplasma along with cat scan serological tests will be required for confirmation of diagniosis.

The main treatment is by medical treatment and surgery is required only for conplications like retinal detachment, epiretinal membrane.... if they occur.

Hence main treatment in your case if it is because of parasitic infection like toxoplasma is by medical treatment as being done by your doctor.

Hope the information is helpful to you.

Thank you

With regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dadapeer K

Ophthalmologist

Practicing since :2003

Answered : 5709 Questions

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Suggest treatment for ocular toxoplasmosis

Brief Answer: Treatment of ocular toxoplasmosis is by drugs. Detailed Answer: Hello Welcome to Health care magic. Toxoplasmosis is one of the common causes for inflammation of the posterior part of the eye and it usaully presents as chorioretinitis. It can also present as toxoplasma optic neuritis or optic neuropathy as in your case. The diagnosis requires serological tests for toxoplasmosis. The treatment is by use of steroids and antimicrobial drugs like pyrimethamine and sulphadiazine. Since you are being investigated for toxoplasma along with cat scan serological tests will be required for confirmation of diagniosis. The main treatment is by medical treatment and surgery is required only for conplications like retinal detachment, epiretinal membrane.... if they occur. Hence main treatment in your case if it is because of parasitic infection like toxoplasma is by medical treatment as being done by your doctor. Hope the information is helpful to you. Thank you With regards