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Neuroretinitis

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Neuroretinitis is an acute inflammatory condition of the retina defined by optic disc edema and stellate maculopathy.

    • A characteristic pattern of macular exudates surrounds the fovea.

    • ...

DIAGNOSIS

HISTORY

  • Painless decrease in vision

    • Typically unilateral

    • Less commonly bilateral

  • Viral prodrome is common.

  • Comprehensive social history including the following:

    • Travel and exposure history

    • Animal c...

TREATMENT

  • Treatment is directed at the underlying etiology.

    • High-dose oral steroids are commonly used in idiopathic and recurrent neuroretinitis with occasional high-dose IV steroids used in recurrent ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Systemic monitoring will depend on the symptoms and underlying etiology.

  • Ophthalmologic monitoring initially may be weekly to monitor for development of macular st...

REFERENCES

1
Kitamei H, Suzuki Y, Takahashi M, et al. Retinal angiography and optical coherence tomography disclose focal optic disc vascular leakage and lipid-rich fluid accumulation within the retina...

ADDITIONAL READING

Spencer BRJr, Digre KB. Treatments for neuro-ophthalmologic conditions. Neurol Clin.  2010;28(4):1005–1035. 

CODES

ICD10

  • H30.90 Unspecified chorioretinal inflammation, unspecified eye

  • H30.009 Unsp focal chorioretinal inflammation, unspecified eye

  • H30.899 Other chorioretinal inflammations, unspecified eye

  • H30.019...

CLINICAL PEARLS

  • For a patient with painless unilateral vision loss after a viral-like prodrome, consider neuroretinitis and refer immediately to an ophthalmologist for further evaluation including a c...

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