Nov 1 2017 by FELIPE PEREIRA
40-year-old patient presented with sudden and painless visual acuity loss for 1 day. His initial visual acuity was hand motion. There was positive epidemiology for cat-scratch disease and other serologies tests were negative. Treatment was initiated with 200 mg/day of Doxycycline for 21 days plus oral prednisone 1mg/kg tapered in 4 weeks. The patient presented a favorable evolution with reduction of the peripapillary granuloma and improvement of visual acuity to 20/25.
Photographer: Felipe Pereira
Imaging device: Triton, Topcon
Condition/keywords: neuroretinitis, ocular bartonellosis