Bartonella Henselae Neuroretinitis Associated with Central Retinal Vein Occlusion, Choroidal Ischemia, and Ischemic Optic Neuropathy

Publication Date

2020

Journal Title

Retin Cases Brief Rep

Abstract

© 2020 by Ophthalmic Communications Society, Inc. Purpose:We describe a healthy 37-year-old man with Bartonella henselae (B. henselae) neuroretinitis with concurrent central retinal vein occlusion and ischemic optic neuropathy resulting in optic atrophy and choroidal ischemia.Methods:Case report.Results:A 37-year-old man presented with unilateral decreased vision and a fundus examination consistent with neuroretinitis. Further imaging review supported a concurrent diagnosis of central retinal vein occlusion. Although initially negative, repeat serological testing for B. henselae infection was positive. Multimodal imaging displayed severe outer retinal disruption, ischemic optic neuropathy, and choroidal ischemia. The patient demonstrated near complete resolution of fundus findings and restoration of outer retinal architecture. Residual findings included optic disk pallor and ischemic choroidopathy.Discussion:B. henselae neuroretinitis may be associated with concurrent retinal vascular occlusive disease and ischemic optic neuropathy. Central retinal vein occlusion and choroidal ischemia leading to optic nerve atrophy are additional sequelae further expanding the clinical spectrum of this entity.

Volume Number

14

Issue Number

1

Pages

23 - 26

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Ophthalmology

PMID

28700390

DOI

10.1097/ICB.0000000000000612

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