Neuroretinitis

2019 ◽  
pp. 35-40
Author(s):  
Matthew J. Thurtell ◽  
Robert L. Tomsak
Keyword(s):  
Optic Disc ◽  
Vision Loss ◽  
Monocular Vision ◽  
Inflammatory Condition ◽  
Visual Recovery ◽  
Management Options ◽  
Disc Edema ◽  
Factors Influencing ◽  
Macular Star ◽  
Retinal Exudates

Neuroretinitis is an inflammatory condition that results in acute painless monocular vision loss. It is characterized by unilateral optic disc edema with fluid extending from the peripapillary region into the macula. As the fluid resorbs, retinal exudates develop in a stellate configuration to produce a characteristic macular star. In this chapter, we begin by reviewing the clinical features of neuroretinitis. We next discuss potential causes of neuroretinitis, which includes infections (e.g., cat-scratch disease) and inflammatory disorders (e.g., sarcoidosis). We then discuss the laboratory workup of neuroretinitis. Lastly, we review the management options for neuroretinitis and factors influencing the prognosis for visual recovery.

Retinitis pigmentosa and acute vision loss due to optic disc edema

2021 ◽  
Author(s):  
A. López-Jiménez ◽  
A. Pastor-Grau ◽  
C. Gómez-Sánchez ◽  
J. Lacorzana
Keyword(s):  
Retinitis Pigmentosa ◽  
Optic Disc ◽  
Vision Loss ◽  
Optic Disc Edema ◽  
Disc Edema

scholarly journals Recurrent optic disc edema with a macular star (ODEMS)

Eye ◽  
1999 ◽  
Vol 13 (5) ◽  
pp. 683-685 ◽  
Author(s):  
Louise O'Toole ◽  
Mark Cahill ◽  
Michael Hutchinson ◽  
Peter Eustace
Keyword(s):  
Optic Disc ◽  
Optic Disc Edema ◽  
Disc Edema ◽  
Macular Star

Poor visual outcome following optic disc edema with a macular star (‘neuroretinitis’)

1998 ◽  
Vol 19 (2) ◽  
pp. 57-61
Author(s):  
Andrew G. Lee ◽  
Silvia D. Orengo-Nania ◽  
Paul W. Brazis ◽  
Elizabeth M. Lech
Keyword(s):  
Optic Disc ◽  
Visual Outcome ◽  
Optic Disc Edema ◽  
Disc Edema ◽  
Poor Visual Outcome ◽  
Macular Star

scholarly journals Multimodal Imaging in Idiopathic Neuroretinitis with Localized Choroidal Insufficiency: A Case Report

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 697
Author(s):  
Junwoo Lee ◽  
Kiyoung Kim
Keyword(s):  
Optic Disc ◽  
Multimodal Imaging ◽  
Healthy Woman ◽  
Clinical Entity ◽  
Retinal Edema ◽  
Hard Exudate ◽  
Optic Disc Edema ◽  
Blurred Vision ◽  
Disc Edema ◽  
Macular Star

Neuroretinitis is a rare clinical entity, characterized by optic nerve edema and star-shape hard exudate around fovea. The clinical features include acute unilateral visual loss, dyschromatopsia, relative afferent pupillary defect and visual field abnormalities. Increased vascular permeability of the optic disc is the main pathophysiology. As it is a not fully known clinical entity, diagnosis is challenging. In this case, we use multimodal imaging to reveal pathophysiology and anatomical change of early mild neuroretinitis. Case presentation: A 28-year-old healthy woman presented to the clinic with mild blurred vision in her left eye. After complete ophthalmic examination, outer retinal thickening of the temporal peripapillary area and optic disc edema were observed. Two days after diagnosis, the retinal edema and visual symptoms were aggravated. A hard exudate, maybe a part of macular star, was observed. Multimodal imaging including optical coherence tomography (OCT), swept-source OCT angiography (SS-OCTA), fluorescein angiography, and indocyanine green angiography visualized choroidal thinning and insufficient circulation beneath the outer retinal edema. Following steroid pulse therapy, the retinal edema and blurred vision were completely resolved. Conclusions: Multimodal imaging suggested that unilateral optic disc edema and early macular star help the diagnosis of neuroretinitis. In SS-OCTA, we found focal choroidal insufficiency. The focal insufficient choroidal circulation might be a contribution factor for idiopathic neuroretinitis. Multimodal imaging including SS-OCTA may be a valuable tool for detecting and monitoring disease progression.

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