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Cat-scratch disease: unusual perivascular chorioretinal lesions.

Sahin O - Med Hypothesis Discov Innov Ophthalmol (2014)

Bottom Line: The perivenous lesions were associated with vascular fibrous bands and corresponding changes in vascular calibers.The serologic tests confirmed the diagnosis of cat-scratch disease.The patient received no treatment, and she was followed for three years without any signs of ocular inflammation.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology/Uveitis and Ocular Immunology, DunyaGoz Hospital, Ankara, Turkey.

ABSTRACT
This study is a case report of bilateral perivascular chorioretinal lesions associated with Bartonella henselae. A 37-year-old woman presented with headache and blurred vision in both eyes aggravating occasionally during five years. She was otherwise healthy, with best-corrected visual acuities were 20/20 in both eyes. History of close contact with cats was more than merely eye-catching upon examination of her fundus. In both eyes, fundi were coated with yellow-brown pigmented perivenous chorioretinal lesions along the superotemporal and inferotemporal vascular arcades and their branches. The perivenous lesions were associated with vascular fibrous bands and corresponding changes in vascular calibers. There were no associated intraocular inflammatory signs in both eyes. The serologic tests confirmed the diagnosis of cat-scratch disease. The patient received no treatment, and she was followed for three years without any signs of ocular inflammation.

No MeSH data available.


Related in: MedlinePlus

Fundus fluorescein angiography of the right (A), (B) and (C), as well as the left (D), (E) and (F) eyes disclose perivenous location of the lesions along the superotemporal and inferotemporal vascular arcades associated with staining both at arteriovenous, (A, B, D, E) and late venous phases (C, F) in both eyes. Changes in vascular calibers along the inferotemporal vascular arcade,(A) and superotemporal vascular arcade (B) in the right eye, changes in vascular calibers along the inferotemporal arcade, and vascular occlusion along the superotemporal arcade (D, F) associated with loop vessel formation (E) in the left eye are disclosed.
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Figure 3: Fundus fluorescein angiography of the right (A), (B) and (C), as well as the left (D), (E) and (F) eyes disclose perivenous location of the lesions along the superotemporal and inferotemporal vascular arcades associated with staining both at arteriovenous, (A, B, D, E) and late venous phases (C, F) in both eyes. Changes in vascular calibers along the inferotemporal vascular arcade,(A) and superotemporal vascular arcade (B) in the right eye, changes in vascular calibers along the inferotemporal arcade, and vascular occlusion along the superotemporal arcade (D, F) associated with loop vessel formation (E) in the left eye are disclosed.

Mentions: Fundus autofluorescence (FAF) of the right eye revealed a homogenous increase in autofluorescence corresponding to the chorioretinal lesions along the superotemporal and inferotemporal vascular arcades (Fig. 2 A, B). Fundus autofluorescence of the left eye revealed a homogenous increase in autofluorescence corresponding to the chorioretinal lesions along the superior vascular arcades (Fig. 2 C, D).Fundus fluorescein angiography (FFA) of the right eye showed perivenous location of the lesions commencing with appearance at arteriovenous and late venous phases indicating changes in vascular calibers around the lesions (Fig. 3 A, B, C). Fundus fluorescein angiography of the left eye revealed perivenous lesions beginning to appear at arteriovenous and late venous phases (Fig. 3 D, E, F), establishing changes in vascular caliber (Fig. 3 D ,F) with formation of vascular loops along the superonasal vascular branch (Fig. 3 E).


Cat-scratch disease: unusual perivascular chorioretinal lesions.

Sahin O - Med Hypothesis Discov Innov Ophthalmol (2014)

Fundus fluorescein angiography of the right (A), (B) and (C), as well as the left (D), (E) and (F) eyes disclose perivenous location of the lesions along the superotemporal and inferotemporal vascular arcades associated with staining both at arteriovenous, (A, B, D, E) and late venous phases (C, F) in both eyes. Changes in vascular calibers along the inferotemporal vascular arcade,(A) and superotemporal vascular arcade (B) in the right eye, changes in vascular calibers along the inferotemporal arcade, and vascular occlusion along the superotemporal arcade (D, F) associated with loop vessel formation (E) in the left eye are disclosed.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4352207&req=5

Figure 3: Fundus fluorescein angiography of the right (A), (B) and (C), as well as the left (D), (E) and (F) eyes disclose perivenous location of the lesions along the superotemporal and inferotemporal vascular arcades associated with staining both at arteriovenous, (A, B, D, E) and late venous phases (C, F) in both eyes. Changes in vascular calibers along the inferotemporal vascular arcade,(A) and superotemporal vascular arcade (B) in the right eye, changes in vascular calibers along the inferotemporal arcade, and vascular occlusion along the superotemporal arcade (D, F) associated with loop vessel formation (E) in the left eye are disclosed.
Mentions: Fundus autofluorescence (FAF) of the right eye revealed a homogenous increase in autofluorescence corresponding to the chorioretinal lesions along the superotemporal and inferotemporal vascular arcades (Fig. 2 A, B). Fundus autofluorescence of the left eye revealed a homogenous increase in autofluorescence corresponding to the chorioretinal lesions along the superior vascular arcades (Fig. 2 C, D).Fundus fluorescein angiography (FFA) of the right eye showed perivenous location of the lesions commencing with appearance at arteriovenous and late venous phases indicating changes in vascular calibers around the lesions (Fig. 3 A, B, C). Fundus fluorescein angiography of the left eye revealed perivenous lesions beginning to appear at arteriovenous and late venous phases (Fig. 3 D, E, F), establishing changes in vascular caliber (Fig. 3 D ,F) with formation of vascular loops along the superonasal vascular branch (Fig. 3 E).

Bottom Line: The perivenous lesions were associated with vascular fibrous bands and corresponding changes in vascular calibers.The serologic tests confirmed the diagnosis of cat-scratch disease.The patient received no treatment, and she was followed for three years without any signs of ocular inflammation.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology/Uveitis and Ocular Immunology, DunyaGoz Hospital, Ankara, Turkey.

ABSTRACT
This study is a case report of bilateral perivascular chorioretinal lesions associated with Bartonella henselae. A 37-year-old woman presented with headache and blurred vision in both eyes aggravating occasionally during five years. She was otherwise healthy, with best-corrected visual acuities were 20/20 in both eyes. History of close contact with cats was more than merely eye-catching upon examination of her fundus. In both eyes, fundi were coated with yellow-brown pigmented perivenous chorioretinal lesions along the superotemporal and inferotemporal vascular arcades and their branches. The perivenous lesions were associated with vascular fibrous bands and corresponding changes in vascular calibers. There were no associated intraocular inflammatory signs in both eyes. The serologic tests confirmed the diagnosis of cat-scratch disease. The patient received no treatment, and she was followed for three years without any signs of ocular inflammation.

No MeSH data available.


Related in: MedlinePlus