Nk. Wade et al., Optic disk edema associated with peripapillary serous retinal detachment: An early sign of systemic Bartonella henselae infection, AM J OPHTH, 130(3), 2000, pp. 327-334
PURPOSE: To describe optic disk edema associated with peripapillary serous
retinal detachment as an early sign of systemic Bartonella henselae infecti
on.
METHODS: Multicentered, retrospective case series.
RESULTS: Five women and two men presented with optic disk edema producing p
eripapillary serous retinal detachment, Each patient had a markedly elevate
d serum anti-B, henselae antibody titer. Patient age ranged from 11 to 44 y
ears, with a mean and median of 26.6 and 28 years, respectively. The time f
rom the onset of systemic symptoms to the onset of visual symptoms varied f
rom 3 days to 1 month. The peripapillary serous retinal detachment resolved
within 1 to 3 weeks in each case, producing a macular star in four of seve
n patients, Initial vision was 20/200 or worse in five of seven patients an
d improved in four of these five patients to 20/30 or better,
CONCLUSIONS: Systemic B, henselae infection should be considered in patient
s who develop optic disk edema associated with a peripapillary serous retin
al detachment, even in the absence of classic neuroretinitis with a macular
star. (C) 2000 by Elsevier Science Inc. All rights reserved.