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Figure 4. Slit lamp photo of the left eye showing posterior synechiae from 5:30 to 9:30 secondary to the iritis. The right eye had a small patch of posterior synechiae at 6:00.
Figure 3. Radial optic nerves scans captured at follow-up in our clinic demonstrate resolving bilateral optic nerve head edema.
Figure 2. Fundus photos following treatment with systemic steroids and antibiotics show reduction in ocular inflammation. Note that both optic nerves remain hyperemic and there is pigment mottling at both maculae. The resolved multifocal retinitis led to scattered patches of pigmented scarring.
Figure 1. Fundus photos captured at initial presentation demonstrating active bilateral neuroretinitis and multifocal retinitis. Careful observation reveals the classic stellate formation of exudates at the macula.
Background/Introduction:
Clinical Findings:
Case History: A 23-year-old Hispanic male presented to our clinic for an urgent exam with complaint of constant, severe pain and photophobia OU. The patient acknowledged that he was diagnosed with Cat Scratch Disease (CSD) by an ophthalmologist in Trinidad 6 months ago. He was put on a course of systemic
Background/Introduction: Cat scratch disease occurs as a result of infection with the Bartonella henselae bacteria. The condition was first characterized by Dr. Robert Debré in 1931. B. henselae wasn’t identified as the causative organism until 1990 by Relman and associates.The common cat flea is the primary vector of infection, transmitting the
Atypical Bilateral Neuroretinitis and Anterior Granulomatous Uveitis Presenting as Initial Signs of Cat Scratch Disease
