[Neuroretinitis. Clinical cases].
OBJECTIVE
Evaluate the etiology and the most frequent funduscopic alterations of the neuroretinitis.


METHODS
We present the case of a woman 24 years old with a bilateral decrease of visual sharpness (AV), painless and progressive, the funduscopic examination of which reveals a bilateral optical disc edema, with no hemorrhages or exudates, retina edema of the posterior pole and phlebitic areas. The systematic study was normal except for the hemogram (18,000/mm(3) leucocytes with 79% neutrophils) and the positive serology next to a Chlamydia. We also present the case of a 64 years old woman with a decrease of AV at the right eye of one week duration. At the back of the eye a macular star can be seen, and papilla edema. A systematic study gave normal results and positive serology at Bartonella henselae.


RESULTS
The illness produced by a cat scratch is the most common cause of neuroretinitis. The customary findings are a loss of AV, discromatopsia, afferent papillary defects and abnormality on the visual field. Other frequent findings at the back of the eye are hemorrhagic nerve fibers, cotton-like exudates, papilla edema, macular star and glassy inflammation. The roll of antibiotic therapy is questionable. Oral ciprofloxacine seems to give good results.
Valverde-Gubianas
M
M
Servicio de Oftalmología, Hospital Universitario Virgen de las Nieves, Granada, España. marga_valverde@hotmail.com
Ramos-López
J F
JF
López-Torres
J A
JA
Toribio-García
M
M
Milla-Peñalver
C
C
Gálvez Torres-Puchol
J
J
Medialdea-Marcos
S
S
D005260:Female; D006801:Humans; D008875:Middle Aged; D012173:Retinitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D055815:Young Adult