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Neuroretinitis

Gloria J. Klapstein, PhD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Neuroretinitis is a form of optic neuropathy characterized by acute inflammation of the retina with optic disc edema and stellate maculopathy.

    • A characteristic pattern of macular exud...

DIAGNOSIS

HISTORY

  • Painless decrease in vision

    • Typically unilateral

    • Less commonly bilateral

  • Viral prodrome is common.

  • Comprehensive social history is necessary, including the following:

    • Travel and exposure h...

TREATMENT

Treatment is directed at the underlying etiology (2,3). 
  • Consider antibiotics for suspected CSD while serologies are pending.

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
Ksiaa I, Abroug N, Mahmoud A, et al. Update on Bartonella neuroretinitis. JCurrOphthalmol. 2019;31(3):254–261. doi: 10.1016/j.joco.2019.03.005
2
Spencer  BRJr, Digre  ...

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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