Therapy for ocular toxoplasmosis should be the current regimen for systemic toxoplasmosis. Atovaquone can be considered for patients who fail standard therapy. Maintenance treatment should be continued or lesions will relapse. Pneumocystis carinii choroidopathy Pneumocystis carinii choroidopathy is rare since aerosolized pentamidine use has declined, and systemic prophylaxis for Pneumocystis carinii pneumonia infection is now routine. Pneumocystis carinii choroidopathy implies disseminated pneumocystic infection.
Lesions are yellow to orange in color and involve the posterior pole of the retina.
Hemorrhage and inflammation are not seen. Even when the ocular disease is extensive, it is not symptomatic. The presence of unexplained uveitis or papillitis can be the result of syphilis. There is no large study on optimal screening intervals. The frequency of these examinations depends on immune function and the policies of the ophthalmologist and primary care physician.