Table 1. Key clinical features distinguishing different etiologies of infectious chorioretinitis.
Location | Confluence | Border | Thickness | Vasculitis | |
---|---|---|---|---|---|
Acute retinal necrosis24 | Peripheral Multifocal or posterior25 | Confluent, Rapid centripetal spread | Smooth with large satellites | Necrotizing Full thickness, opaque, edematous | Occlusion in and outside lesions |
Cytomegalovirus | Random Vasocentric | Unifocal or multifocal, Central healing, usually concentric spread | Granular small satellites | Necrotizing, Superficial | Occlusion in lesions FBA reported26 |
Syphilis | Random Posterior polar predominance | Diffuse | Poorly defined | Non-necrotizing, Translucent, edematous | Vascular leakage Venous occlusion22 |
Toxoplasmosis, focal | Random | Unifocal with border healing | Smooth | Thick, inner retina or full thickness | Arteriolar >venular sheathing, FBA reported |
Toxoplasmosis, diffuse27, 28 | Random | Confluent, random spread | Smooth | Usually thick | Arteriolar >venular sheathing |
FBA, frosted branch angiitis: heavy deposits of inflammatory material along multiple arteriolar and venular branches.