Therapy for ocular toxoplasmosis

Purpose: To review current evidence for the treatment of ocular toxoplasmosis (OT). Design: Narrative review and expert recommendations. Methods: Meta-analysis and selected original articles from the medical literature were reviewed critically. Expert recommendations were analyzed. Results: Numerous...

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Autores Principales: de-la-Torre, Alejandra, Stanford, Miles, Curi, Andre, Jaffe, Glenn J., Gomez-Marin, Jorge E.
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: International Uveitis Study Group 2011
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/28441
https://doi.org/10.3109/09273948.2011.608915
id ir-10336-28441
recordtype dspace
spelling ir-10336-284412021-08-26T11:37:10Z Therapy for ocular toxoplasmosis Terapia para la toxoplasmosis ocular de-la-Torre, Alejandra Stanford, Miles Curi, Andre Jaffe, Glenn J. Gomez-Marin, Jorge E. Antibiotics Ocular toxoplasmosis Recurrences Steroids Therapy Treatment Uveitis Purpose: To review current evidence for the treatment of ocular toxoplasmosis (OT). Design: Narrative review and expert recommendations. Methods: Meta-analysis and selected original articles from the medical literature were reviewed critically. Expert recommendations were analyzed. Results: Numerous observational studies suggest a benefit of short-term antimicrobial therapy for toxoplasmic retinochoroiditis in immunocompetent patients, although its efficacy has not been proven in randomized clinical trials. A randomized clinical trial revealed that intermittent trimethoprim/sulfamethoxazole treatment could decrease the rate of recurrence in high-risk patients. Intravitreal injection of clindamycin and dexamethasone was an acceptable alternative to the classic treatment for OT in a randomized clinical trial. Conclusions: Opinions about therapy differ and controversy remains about its type, efficacy, and length. Intravitreal therapy may be promising for OT. A recent description of the presence of parasitemia in patients with active and inactive ocular toxoplasmosis raises new questions that need to be explored. 2011-10-04 2020-08-28T15:48:12Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ISSN: 0927-3948 EISSN: 1744-5078 https://repository.urosario.edu.co/handle/10336/28441 https://doi.org/10.3109/09273948.2011.608915 eng info:eu-repo/semantics/restrictedAccess application/pdf International Uveitis Study Group Uveitis Society of India Ocular Immunology and Inflammation
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
topic Antibiotics
Ocular toxoplasmosis
Recurrences
Steroids
Therapy
Treatment
Uveitis
spellingShingle Antibiotics
Ocular toxoplasmosis
Recurrences
Steroids
Therapy
Treatment
Uveitis
de-la-Torre, Alejandra
Stanford, Miles
Curi, Andre
Jaffe, Glenn J.
Gomez-Marin, Jorge E.
Therapy for ocular toxoplasmosis
description Purpose: To review current evidence for the treatment of ocular toxoplasmosis (OT). Design: Narrative review and expert recommendations. Methods: Meta-analysis and selected original articles from the medical literature were reviewed critically. Expert recommendations were analyzed. Results: Numerous observational studies suggest a benefit of short-term antimicrobial therapy for toxoplasmic retinochoroiditis in immunocompetent patients, although its efficacy has not been proven in randomized clinical trials. A randomized clinical trial revealed that intermittent trimethoprim/sulfamethoxazole treatment could decrease the rate of recurrence in high-risk patients. Intravitreal injection of clindamycin and dexamethasone was an acceptable alternative to the classic treatment for OT in a randomized clinical trial. Conclusions: Opinions about therapy differ and controversy remains about its type, efficacy, and length. Intravitreal therapy may be promising for OT. A recent description of the presence of parasitemia in patients with active and inactive ocular toxoplasmosis raises new questions that need to be explored.
format Artículo (Article)
author de-la-Torre, Alejandra
Stanford, Miles
Curi, Andre
Jaffe, Glenn J.
Gomez-Marin, Jorge E.
author_facet de-la-Torre, Alejandra
Stanford, Miles
Curi, Andre
Jaffe, Glenn J.
Gomez-Marin, Jorge E.
author_sort de-la-Torre, Alejandra
title Therapy for ocular toxoplasmosis
title_short Therapy for ocular toxoplasmosis
title_full Therapy for ocular toxoplasmosis
title_fullStr Therapy for ocular toxoplasmosis
title_full_unstemmed Therapy for ocular toxoplasmosis
title_sort therapy for ocular toxoplasmosis
publisher International Uveitis Study Group
publishDate 2011
url https://repository.urosario.edu.co/handle/10336/28441
https://doi.org/10.3109/09273948.2011.608915
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score 12,131701