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Blind and Visually Impaired Community

Full History - 2017 - 10 - 11 - ID#75mvga
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Do most people go blind from Ocular Toxoplasmosis? (self.Blind)
submitted by Hawk1099
-shacklebolt- 10 points 5y ago
This person appears to regularly post irrational questions about blindness and other issues that seem to be rooted in anxiety or another issue that is above our pay grade. An account is deleted or suspended and a new account is created, but the tone is quite consistent throughout a series of posts which leads me to believe it is probably just one person.

No amount of people previously replying to them has seemed to have any impact on their questions.
[deleted] 1 points 5y ago
[deleted]
ImamBaksh 1 points 5y ago
I have ocular toxo.

It's taken out the central vision of my left eye and some of the central vision of my right eye, but it's progressing in intermittent spurts that make it unlikely to ever impair all my vision.

According to every doctor I've been to, my situation is rare. Most of the time, the lesions that cause blindness don't appear right in the center of vision so they don't cause serious impairment.

The most likely scenario for people with ocular toxo is partial vision loss.

ESPECIALLY if they can get on the prophylactic treatment which will prevent future outbreaks.
PirateHooker1278 1 points 5y ago
My son was born with congenital ocular toxoplasmosis. His scarring is directly in the center of his retina as well. Only one eye is affected though. He hasn’t had any flare ups either. You are only the second person I have ever encountered that has had toxo. Can you tell when they are flaring up? Do you have any peripheral vision? I’m sorry you have to deal with this.
ImamBaksh 1 points 5y ago
My left eye was damaged from birth. No central vision. Plenty of peripheral vision. My left eye's condition hasn't changed since birth.

My right eye was perfect from birth.

When I was 25 I started getting active incidents in my right eye a little to the top and left of center. I've had about one incident a year in the 13 yeaers since then in roughly the same spot, but only 3 of them were serious enough to cause vision loss. Right now I have lost vision in the top left up to the center, but I can still read and watch movies etc with the vision in the 3/4 of vision that is unaffected. But I see everything obstructed. like looking at stuff with a BB floating in front of my eye.

I don't know what triggered the reactivation. The doctors I've spoken to say they're not sure, but toxo generally gets active when the immune system is weak for any reason. But there's nothing specific in my health that they can identify. I'm generally in good health for my age with no other issues. The thing about toxo is that the parasite lives in cysts in the retina and can stay dormant for decades but then activate.

I'm sorry to hear about your son. The only advice I can offer is to look into prophylactic care. There is an anti-biotic that can keep flare ups from happening. I have been unable to take it because I'm allergic, which is why I have yearly flareups.

Also, teach your son to know the warning signs. A new attack usually starts with a pulsing in distinct areas of vision. It looks kind of like an animated hurricane image on a TV satellite map that fades in and out with a shimmery effect.

With a bad attack, it gets worse until it feels like you just looked into the sun, where there's a dark after-image obscuring your vision.

Whenever the swelling hits hard, you also get hundreds of spot floaters and darkening of vision. It looks like hundreds of seeds floating in front of you.

Hope that helps. I'm happy to answer more questions.
PirateHooker1278 1 points 5y ago
Thank you so much for responding! That is all so interesting. I will start asking him more specific questions every so often about his vision. He’s only 3 and I don’t trust him to tell me. Have you ever contacted Dr. Rima McLeod at the Chicago toxoplasmosis center? She is working on a cure that will hopefully be available in 5-10 years. If you don’t mind what country do you live in? I caught toxo in Nicaragua on my honeymoon when I was 15 weeks pregnant.
ImamBaksh 1 points 5y ago
I live in Guyana South America.

I'm not aware of Dr McCleod. I've been a couple of times to the Bascomb Palmer eye hospital in Miami which is part of University of Miami.

I'm glad to hear of a possible cure.
[deleted] -2 points 5y ago
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ImamBaksh 2 points 5y ago
Very rare.

Many people have regular toxo. In some countries where it's hot and damp, up to 90% of the population might have it and feel nothing as long as their immune systems are healthy.

But ocular infection requires a mother-to-child transmission in utero. In utero can, even more rarely, also cause problems like swollen heads...but the primary issue is scarring on the back of the retina from swelling during active infection phases.

The major problem with toxo in the retina is that the infection NEVER GOES AWAY. It goes through cycles of activity and cysts of dormant parasites will remain embedded in the retina between active periods. Once a cyst is established, there is no way to remove it. Sometimes the cysts don't activate for decades (as with me) Sometimes it starts activating and then keeps activating every year for a decade (as with me). A major risk is for the active parasite to colonize new areas of the retina setting up new cysts there.

As I said, there is no cure. No real treatment even. You can only use an antibiotic prophylactic to prevent activation from the cysts.

I hear it's effective, but I'm allergic to the antibiotic, so I'm not able to benefit. I'm in the middle of trying an alternate antibiotic prophylactic, but it seems only marginally effective.
[deleted] 0 points 5y ago
[removed]
ImamBaksh 3 points 5y ago
Unless you're a baby in a uterus, you won't get it.
Amonwilde 1 points 5y ago
In the developed world, macular degeneration is, I believe, the leading cause. In the developing world, cataracts are still the leading cause.
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