John S. King, MD » Cat Scratch

Dec 19 2020 by John S. King, MD

64-year-old female had at least a two week history of blurry vision in the right eye. She was being followed for a CRVO in the right eye, and as vision worsened, was referred to our clinic, and saw Dr. Zocchi. Vision in the right eye was CF; there was 1+ cell in the A/C; 1+ vitreous cell was present; disc edema with surrounding SRF as well as a small, white, retinal infiltrate just superior to the optic disc; vessel tortuosity was present as well as a few IRHs (left eye was u/r). There was sub-foveal and PP SRF on OCT. FA in the early to mid phase showed optic disc hyperfluorescence and early filling into the subretinal space. In the later frames there was disc leakage, staining/leakage of the retinal infiltrate, and filling into the subretinal space (See Image). Multiple tests were done, she was started on doxycycline 100 mg BID, and Bartonella serology test came back positive. One week later vision improved to 20/100, a/c cell present, disc edema improved and the SRF was resolving. (will add more photos next visit)

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: cat scratch retinitis

Dec 19 2020 by John S. King, MD

64-year-old female had at least a two week history of blurry vision in the right eye. She was being followed for a CRVO in the right eye, and as vision worsened, was referred to our clinic, and saw Dr. Zocchi. Vision in the right eye was CF; there was 1+ cell in the A/C; 1+ vitreous cell was present; disc edema with surrounding SRF as well as a small, white, retinal infiltrate just superior to the optic disc; vessel tortuosity was present as well as a few IRHs (left eye was u/r). There was sub-foveal and PP SRF on OCT. FA in the early to mid phase showed optic disc hyperfluorescence and early filling into the subretinal space (See Image). In the later frames there was disc leakage, staining/leakage of the retinal infiltrate, and filling into the subretinal space. Multiple tests were done, she was started on doxycycline 100 mg BID, and Bartonella serology test came back positive. One week later vision improved to 20/100, a/c cell present, disc edema improved and the SRF was resolving. (will add more photos next visit)

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: cat scratch retinitis

Dec 19 2020 by John S. King, MD

64-year-old female had at least a two week history of blurry vision in the right eye. She was being followed for a CRVO in the right eye, and as vision worsened, was referred to our clinic, and saw Dr. Zocchi. Vision in the right eye was CF; there was 1+ cell in the A/C; 1+ vitreous cell was present; disc edema with surrounding SRF as well as a small, white, retinal infiltrate just superior to the optic disc; vessel tortuosity was present as well as a few IRHs (See Image) (left eye was u/r). There was sub-foveal and PP SRF on OCT. FA in the early to mid phase showed optic disc hyperfluorescence and early filling into the subretinal space. In the later frames there was disc leakage, staining/leakage of the retinal infiltrate, and filling into the subretinal space. Multiple tests were done, she was started on doxycycline 100 mg BID, and Bartonella serology test came back positive..... One week later vision improved to 20/100, a/c cell present, disc edema improved and the SRF was resolving. (will add more photos next visit)

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: cat scratch retinitis

Dec 19 2020 by John S. King, MD

64-year-old female had at least a two week history of blurry vision in the right eye. She was being followed for a CRVO in the right eye, and as vision worsened, was referred to our clinic, and saw Dr. Zocchi. Vision in the right eye was CF; there was 1+ cell in the A/C; 1+ vitreous cell was present; disc edema with surrounding SRF as well as a small, white, retinal infiltrate just superior to the optic disc; vessel tortuosity was present as well as a few IRHs (left eye was u/r). There was sub-foveal and PP SRF on OCT. FA in the early to mid phase showed optic disc hyperfluorescence and early filling into the subretinal space. In the later frames there was disc leakage, staining/leakage of the retinal infiltrate, and filling into the subretinal space (See Image). Multiple tests were done, she was started on doxycycline 100 mg BID, and Bartonella serology test came back positive. One week later vision improved to 20/100, a/c cell present, disc edema improved and the SRF was resolving. (will add more photos next visit)

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: cat scratch retinitis

Dec 19 2020 by John S. King, MD

64-year-old female had at least a two week history of blurry vision in the right eye. She was being followed for a CRVO in the right eye, and as vision worsened, was referred to our clinic, and saw Dr. Zocchi. Vision in the right eye was CF; there was 1+ cell in the A/C; 1+ vitreous cell was present; disc edema with surrounding SRF as well as a small, white, retinal infiltrate just superior to the optic disc; vessel tortuosity was present as well as a few IRHs (left eye was u/r). There was sub-foveal and PP SRF on OCT. FA in the early to mid phase showed optic disc hyperfluorescence and early filling into the subretinal space. In the later frames there was disc leakage, staining/leakage of the retinal infiltrate, and filling into the subretinal space (See Image). Multiple tests were done, she was started on doxycycline 100 mg BID, and Bartonella serology test came back positive. One week later vision improved to 20/100, a/c cell present, disc edema improved and the SRF was resolving. (will add more photos next visit)

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: cat scratch retinitis

Dec 21 2020 by John S. King, MD

64-year-old female had at least a two week history of blurry vision in the right eye. She was being followed for a CRVO in the right eye, and as vision worsened, was referred to our clinic, and saw Dr. Zocchi. Vision in the right eye was CF; there was 1+ cell in the A/C; 1+ vitreous cell was present; disc edema with surrounding SRF as well as a small, white, retinal infiltrate just superior to the optic disc; vessel tortuosity was present as well as a few IRHs (left eye was u/r). There was sub-foveal and PP SRF on OCT. FA in the early to mid phase showed optic disc hyperfluorescence and early filling into the subretinal space. In the later frames there was disc leakage, staining/leakage of the retinal infiltrate, and filling into the subretinal space (See OCT - Left Image is initial visit). .... Multiple tests were done, she was started on doxycycline 100 mg BID, and Bartonella serology test came back positive. One week later vision improved to 20/100, a/c cell present, disc edema improved and the SRF was resolving (See OCT - Right Image is latest visit).

Imaging device: Zeiss Cirrus

Condition/keywords: Bartonella bacteria, cat scratch retinitis