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¹Okmeydanı Eğitim ve Araştırma Hastanesi Göz Kliniği, İstanbul, Uz. Dr.
²Yenişehir Devlet Hastanesi, Göz Kliniği, Kahramanmaraş, Uz. Dr.
³Okmeydanı Eğitim ve Araştırma Hastanesi Göz Kliniği, İstanbul, Doç. Dr. It is aimed to present an unusual extramacular ocular toxoplasmosis which was complicated with serous macular detachment. A 27-year-old man admitted to our clinic with the complaint of abrupt visual acuity loss. The patient was only counting fingers at the presentation. Intraocular pressure was 14 mmHg at the affected eye. He had a mild ciliary conjuntival injection with clear cornea and crystalline lens. Initial fundus examination disclosed mild vitritis, and serous macular detachment. Detailed examination demonstrated an active peripheral chorioretinal lesion reminding ocular toxoplasmosis. Serology confirmed active toxoplasmosis. Serous macular detachment regressed within two weeks while chorioretinitis resolved within four weeks upon use of the appropriate antibiotic and steroid treatment. Two months later, visual acuity improved to 20/20. A hyperpigmented scar developed paracentrally. In patients with posterior uveitis and serous macular detachment, the diagnosis of ocular toxoplasmosis should be kept in mind, and serologic tests should be considered. Excellent anatomic and visual outcomes can be achieved with prompt and suitable therapy. Keywords : Toxoplasma, serous macular detachment