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Original Article

Effectiveness of Treatments for Ocular Toxoplasmosis

, MDORCID Icon, , MD, PhDORCID Icon, , PhD, MBAORCID Icon, , MDORCID Icon, , MD, PhDORCID Icon, , MD, PhDORCID Icon, , MD, PhDORCID Icon, , MDORCID Icon, , PhD, MPH, MBAORCID Icon & , MD, PhDORCID Icon show all
Pages 249-255 | Received 17 Aug 2018, Accepted 02 Jan 2019, Published online: 26 Feb 2019
 

ABSTRACT

Purpose: To evaluate the effectiveness of treatments for ocular toxoplasmosis (OT).

Methods: A review of charts was conducted from patients who experienced an active episode of OT treated at the Federal University of São Paulo and associated sites. OT charts were reviewed to determine treatment effectiveness based on clinical judgment, taking clinical course and outcome into consideration in addition to change in best-corrected visual acuity. Treatment emergent adverse events (TEAEs) were used to assess safety.

Results: Overall, 451/1200 patient charts met the inclusion criteria. The most commonly prescribed treatment was trimethoprim + sulfamethoxazole (52.3%) followed by pyrimethamine + sulfadiazine (28%). Treatment was successful in 96.9% of patients. Irrespective of the treatment, active lesions were resolved in 63.9% of patients within 6 weeks. Vision improved in 56.3% of patients. The incidence of TEAEs was low (10%).

Conclusions: All treatments were effective for active episodes of OT, with few side effects.

Disclosure of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

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