The protozoan parasite Toxoplasma gondii is an important cause of ocular di
sease both in immunosuppressed and immunocompetent individuals. Non-ocular
infections are not usually serious ill otherwise healthy adults. In contras
t, toxoplasmic retinochoroiditis is a progressive, recurring disease that c
an cause severe morbidity. Here, Fiona Roberts and Rima McLeod review the d
emography, pathology and clinical findings of this disease. They discuss me
chanisms of retinal destruction and disease recurrences, and the local immu
nological response at this immune-privileged site.