Initializing download.-
By John S. King, MD
Retina Associates, PA
Co-author(s): Kent Zocchi MD, Dan Kim, MD - Uploaded on Dec 19, 2020.
- Last modified by John S. King, MD on Dec 22, 2020.
- Rating
- Appears in
- Cat Scratch
- Condition/keywords
- cat scratch retinitis
- Photographer
- Shelly Blair
- Imaging device
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Fundus camera
Optos CA - Description
- 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)
