Chorioretinitis Follow-up

Updated: Nov 14, 2016
  • Author: Manolette R Roque, MD, MBA, FPAO; Chief Editor: Russell W Steele, MD  more...
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Follow-up

Further Outpatient Care

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  • Long-term care should alleviate debilitating conditions and improve functions for patients with chorioretinitis. An involved primary care physician should work closely with the specialists, the school system, and social workers.

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Further Inpatient Care

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  • Children with congenital infections and chorioretinitis (CR) face many possible handicaps, including partial or total loss of vision, deafness, seizure disorders, and mental retardation.

  • Short-term care for individuals with chorioretinitis includes diagnostic and management planning.

  • Management planning requires participation of several specialists included but not limited to the ophthalmologist, infectious disease specialist, neurologist, physiotherapist, and child development specialist.

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Prognosis

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  • Except when caused by congenital toxoplasmosis (CTP), prognosis for individuals with chorioretinitis depends on the originating process but tends to be self-limited.

  • Chorioretinitis due to CTP is progressive, and the outcome is not usually predictable. Late-onset retinal lesions can occur many years after birth, but the overall ocular prognosis of congenital toxoplasmosis is satisfactory when the infection is identified early and treatment is instituted appropriately. [34]

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Patient Education

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  • Aim educational efforts at reducing the incidence of primary toxoplasmosis in pregnant women. Screen pregnant women for the presence of toxoplasmosis immunoglobin (Ig)G and educate these individuals to avoid consuming undercooked meat and handling a cat litter box.

  • In the summer and fall seasons, public health measures can be used to reduce the risk of mosquito-borne viral encephalitis or tick-borne Lyme disease. During peak season for mosquitos and ticks, educate pregnant women to avoid insect bites (eg, cover up, apply insecticide to clothing items) and carry out limited larvicidal spraying to control mosquito infestation.

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