Clinical Features of Neuroretinitis

A 13-year-old girl was seen for assessment of blurred vision and optic disc edema in her right eye. Her examination showed: best-corrected visual acuity of hand motion OD and 20/25 OS; pupils: no relative afferent pupil defect; color vision: 0/14 plates OD and 14/14 plates OS; humphrey visual fields: no response OD and full OS. Her fundus examination showed an edematous right optic disc, macular subretinal fluid and yellow macular exudate in the configuration of a "macular star". Also noted was a small, elevated white granuloma along the superior vascular arcade, with vascular sheathing in the same area. The left fundus was normal. Based on the results of her examination and ophthalmic investigations, the patient was diagnosed with neuroretinitis of the right eye. A serological work-up was positive for bartonella henselae.