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Optic disk edema with a macular star



Optic disk edema with a macular star



Survey of Ophthalmology 43(3): 270-274



A 13-year-old boy presented with acute loss of vision in his right eye of 2 weeks' duration. He had a high fever and was ill for several days, then improved but suffered recurrent episodes of sweating and a high fever. Ophthalmoscopy of the right eye showed optic disk edema, mild vitreous cells, and minimal exudates in the macula. Bartonella henselae titers were positive. A diagnosis of optic disk edema with a macular star secondary to cat-scratch disease was made. The patient was treated with doxycycline and made a dramatic improvement to visual acuity of 20/30 with a minimal residual relative central scotoma. The optic disk edema and macular star resolved, and the patient was left with mild optic atrophy in the right eye.

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Accession: 046870690

Download citation: RISBibTeXText

PMID: 9862313

DOI: 10.1016/s0039-6257(98)00038-1


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