Macular hole in cat scratch disease.
OBJECTIVE
To report the development of a macular hole as a complication of cat scratch disease.


METHODS
Case report.


METHODS
A 10-year-old girl was seen with unilateral neuroretinitis from serologically confirmed cat scratch disease. Twelve days later, she developed a macular hole in the involved eye. Fundus photography and optical coherence tomography (OCT) were obtained at presentation and after the development of a macular hole.


RESULTS
Fundus photography and OCT on presentation revealed a nasal neurosensory detachment and multiple inflammatory foci throughout the macula, including a subfoveal lesion. Fundus photography and OCT 12 days later revealed the development of a partial posterior vitreous detachment and a full thickness macular hole.


CONCLUSIONS
Macular hole should be included among posterior segment complications of cat scratch disease. In this case, the macular hole was associated with partial vitreous detachment and a preexisting subfoveal lesion, likely representing an inflammatory focus.
Albini
Thomas A
TA
Baylor College of Medicine, Department of Ophthalmology, Houston, TX 77030, USA.
Lakhanpal
Rohit R
RR
Foroozan
Rod
R
Holz
Eric R
ER
D000907:Antibodies, Bacterial / Q000097:blood; D018416:Bartonella henselae / Q000276:immunology; D002372:Cat-Scratch Disease / Q000150:complications* / Q000276:immunology; D002648:Child; D005260:Female; D006801:Humans; D010781:Photography; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence; D020255:Vitreous Detachment / Q000175:diagnosis / Q000209:etiology
D000907:Antibodies, Bacterial