Is ocular toxoplasmosis caused by prenatal or postnatal infection?

Abstract
Ocular toxoplasmosis is diagnosed in 20–60% of patients with posterior uveitis, most of whom present between 20 and 40 years of age.6-11 Although these reports reflect caseloads at referral clinics, the reported age distributions are similar to a recent population based study in the UK. In an active surveillance study of patients with suspected toxoplasmosis seen by ophthalmologists serving a population of seven million, 84 patients were reported over 18 months.12 Eighty three patients presented aged 10–54 years, with a mean age of 29 years. The incidence of symptomatic ocular toxoplasmosis was 0.4/100 000/year in British born patients and the lifetime risk of disease 18/100 000. Ophthalmologists around the world are faced with similar groups of patients.

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