Last additions - Neuroretinitis - Cat Scratch Disease - 29 Year Old Sudden Vision Loss Right Eye 29 y.o. Asian Female reports new floaters and blurry vision started in OD approx two days ago, "cobwebs" and blurry vision are around central vision, no flashes, no cobwebs, "smokey" blurry vision. About 2 days ago she noticed vision change. She noticed spots yesterday. They are like black lines and somtimes like dots right above her line of vision. The left eye is fine. She had a bad headache about 3 weeks ago that lasted about 1 week. She doesn't usually get headaches. She just got a cat that is about 6 months old. She got it from someone who had kittens up in Ruskin (not an official breeder). She does not notice any swollen nodes. She has no fevers.
VA OD: cc20/125 NccJ10 OS: cc20/32 NccJ1 IOP: TP OD: 13 OS: 16
OCT Macula: Consistent with Macular Edema. Retinal Elevation Consistent with Subretinal Fluid. Average Central Foveal Thickness 200.
Fundus Photos: Findings OD: Blurred nerve margin - no star exudate. Findings.
Primary: Cat Scratch Disease OD (Probable). Discussion: Cat Scratch Disease OD (Probable): Her presentation is typical for cat scratch disease. I'm going to obtain blood tests for that and for toxoplasmosis and start her on antibiotics. If the blood tests are negative, then I'll obtain further testing. I suspect they will be positive. Macular Edema OD: The macular edema involves the center of the
macula and is likely contributing to the patient’s vision loss.
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female552 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female499 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female534 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female543 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female527 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female604 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female601 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female563 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female521 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female604 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female620 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female570 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female685 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female632 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female664 viewsSep 06, 2014
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female648 viewsSep 06, 2014
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29 y.o. Asian Female reports new floaters and blurry vision started in OD approx two days ago, "cobwebs" and blurry vision are around central vision, no flashes, no cobwebs, "smokey" blurry vision. About 2 days ago she noticed vision change. She noticed spots yesterday. They are like black lines and somtimes like dots right above her line of vision. The left eye is fine. She had a bad headache about 3 weeks ago that lasted about 1 week. She doesn't usually get headaches. She just got a cat that is about 6 months old. She got it from someone who had kittens up in Ruskin (not an official breeder). She does not notice any swollen nodes. She has no fevers.
VA OD: cc20/125 NccJ10 OS: cc20/32 NccJ1 IOP: TP OD: 13 OS: 16
OCT Macula: Consistent with Macular Edema. Retinal Elevation Consistent with Subretinal Fluid. Average Central Foveal Thickness 200.
Fundus Photos: Findings OD: Blurred nerve margin - no star exudate. Findings.
Primary: Cat Scratch Disease OD (Probable). Discussion: Cat Scratch Disease OD (Probable): Her presentation is typical for cat scratch disease. I'm going to obtain blood tests for that and for toxoplasmosis and start her on antibiotics. If the blood tests are negative, then I'll obtain further testing. I suspect they will be positive. Macular Edema OD: The macular edema involves the center of the
macula and is likely contributing to the patient’s vision loss.