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By Mitzy E Torres Soriano, MD
Co-author(s): Manuel Torres Lopez, MD; Naty C. Torres Soriano, MD. Centro medico Cagua-Estado Aragua. Venezuela - Uploaded on May 30, 2014.
- Last modified by Mitzy E Torres Soriano, MD on Apr 30, 2015.
- Rating
- Appears in
- Miscellaneous
- Condition/keywords
- neuroretinitis, leptospirosis, retinal vasculitis, macular star
- Photographer
- Mitzy E. Torres Soriano, MD; Centro medico Cagua-Estado Aragua. Venezuela
- Imaging device
- Retinal Camera TRC-NW8, TOPCON
- Description
- 50-year-old man, presented with sudden onset of reduced vision in the left eye. Visual acuity (VA) was count fingers. Fundoscopic examination revealed soft exudation adjacent the optic nerve, macular edema with hard exudates in star shape arrangement and retinal vasculitis. OCT confirmed macular edema. There were no systemic symptoms. History of alcoholism and crack cocaine addiction. Systemic work up revealed a positive leptospira. He was treated with oral doxycicline (100mg twice daily) and prednisona (1mg/kg with gradual taper) for two weeks. Follow up at six months showed an improvement of VA to 20/60 with partial resolution of clinical findings at fundoscopic exam. Leptospirosis should be ruled out in every case of neuroretinitis.
