May 16, 2016: Neuroretinitis

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May 16, 2016


Neuroretinitis is an important diagnostic consideration in patients with acute to subacute onset of monocular vision loss. It is a condition of neural retina and optic nerve inflammation in young adults after a viral prodrome. Exam often reveals a relative afferent pupillary response on the affected side, and fundoscopy shows an optic disk edema and classic star pattern of a “stellate macula.” Resolution of vision loss can take weeks.  Bartonellaspecies are the most common infectious cause. Cases for which no infectious etiology is found are deemed to be idiopathic neuroretinitis.  Management includes treatment of the infection or steroids in cases of neuroretinitis.

  1. Costello F. Inflammatory Optic Neuropathies. Continuum 2014; 20: 816-837.
  2. Fatteh N, Feldman B, Vaphiades M, et al. Neuroretinitis. In: American Academy of Ophthalmology: EyeWiki [online]. Sept 2011. Available at: . Accessed March 2016.

Submitted by Sarah Wesley, MD, Mount Sinai Beth Israel Medical Center, Department of Neurology.

Dr. Wesley is a member of the Resident and Fellow Section of Neurology.

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