Occlusive Vasculitis and Optic Disk Neovascularization Associated with Neuroretinitis

Abstract

Purpose: To report a case of neuroretinitis associated with ischemic nasal branch retinal vein occlusion, periphlebitis, and neovascularization of the optic disk.

Methods: Case report.

Results: A 32-year-old man presented with a typical image of neuroretinitis, retinal hemorrhages and sheathing of the retinal veins in the nasal retina. His left hand had been bitten by a kitten 8 weeks before. Serology for Bartonella henselae was negative. On the 6th week of follow-up, optic disk neovascularization developed, which required retinal photocoagulation. Photocoagulation was performed again at the 12th and 18th week revision since further new vessels had developed. At the 32nd week of follow-up neovascularization had regressed.

Conclusions: Neuroretinitis may be associated with severe complications such as retinal vascular occlusions and optic disk neovascularization.

KEYWORDS::

• Bartonella henselae
• infectious uveitis
• neuroretinitis
• optic disk neovascularization
• retinal vasculitis

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.