The relationship between ocular toxoplasmosis and levels of toxoplasma spec
ific antibodies was examined in 195 patients, Using clinical information co
llected by questionnaires, patients were divided into: 97 with ocular toxop
lasmosis (group 1) and 98 with ocular lesions not due to toxoplasma (group
2). The geometric mean of dye test titres (+/-S.D. natural log titre) in gr
oup 1 was 53.2 (+/-0.95) compared with 24.6 (+/-1.11) in group 2 (P < 0.001
). Young females tended to have more active lesions compared with young mal
es (P < 0.05). There was an age-dependent difference in dye test titres bet
ween the groups (P < 0.001). Group 1 showed a decline in titre with age com
pared with an increase in group 2. Ocular toxoplasmosis was diagnosed most
frequently among 21-30 year olds. More group 1 patients had dye test titres
greater than or equal to 65 iu/ml than group 2 (P < 0.05). Dye test titres
greater than or equal to 65 iu/ml support a diagnosis of ocular toxoplasmo
sis whereas lower titres suggest other causes for eye lesions.