Journal
JOURNAL OF OPHTHALMIC INFLAMMATION AND INFECTION
Volume 13, Issue 1, Pages -Publisher
SPRINGER
DOI: 10.1186/s12348-023-00334-5
Keywords
Central retinal vein occlusion; Macular edema; Vasculitis; Cat scratch disease; Ocular bartonellosis; Bartonella henselae
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This report describes a case of central retinal vein occlusion (CRVO) as the initial sign of ocular Bartonella henselae infection. A 36-year-old male presented with unilateral vision loss and was found to have CRVO with atypical features. Laboratory testing confirmed Bartonella henselae infection and the patient showed a good response to treatment with doxycycline and aflibercept.
PurposeTo report the clinical features and treatment course of a case of central retinal vein occlusion (CRVO) as the initial sign of ocular Bartonella henselae (B. henselae) infection.ObservationA 36-year-old male was evaluated for unilateral vision loss. He denied prodromal symptoms but reported prior exposure to fleas. Best corrected visual acuity (BCVA) was 20/400 in the left eye. Clinical examination revealed a CRVO with atypical features including significant peripapillary exudates and peripheral vascular sheathing. Laboratory testing revealed elevated B. henselae IgG titers (1:512) with no abnormalities on hypercoagulability testing. The patient was treated with doxycycline and aflibercept with an excellent clinical response and improvement in BCVA to 20/25 in the left eye two months later.ConclusionCRVO is a rare but sight-threatening complication of ocular bartonellosis and can be the presenting sign of infection, even in the absence of cat exposure or prodromal symptoms.
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