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Optic disk edema with a macular star

R R Ghauri1, A G Lee

  • 1Texas A&M University Health Sciences Center, College Station, USA.

Survey of Ophthalmology
|December 23, 1998
PubMed
Summary
This summary is machine-generated.

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Cat-scratch disease can cause vision loss in children. Prompt treatment with doxycycline can lead to significant visual recovery, though some residual optic nerve damage may occur.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pediatrics

Background:

  • Cat-scratch disease, caused by Bartonella henselae, is a common zoonotic infection.
  • Ocular manifestations of cat-scratch disease can be diverse and may affect vision.

Observation:

  • A 13-year-old boy experienced acute vision loss in his right eye.
  • Symptoms included fever, recurrent sweating, and ophthalmoscopic findings of optic disk edema and macular exudates.
  • Positive Bartonella henselae titers confirmed the diagnosis.

Findings:

  • The patient was diagnosed with optic disk edema and a macular star secondary to cat-scratch disease.
  • Treatment with doxycycline resulted in marked improvement of visual acuity to 20/30.
  • Resolution of optic disk edema and macular star was observed, with residual mild optic atrophy.

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Implications:

  • This case highlights the importance of considering cat-scratch disease in the differential diagnosis of pediatric optic neuropathies.
  • Early diagnosis and treatment with antibiotics can significantly improve visual outcomes.
  • Ocular involvement in cat-scratch disease necessitates prompt ophthalmological evaluation and management.