title: Macular findings on optical coherence tomography in cat-scratch disease neuroretinitis.
abstract: OBJECTIVE
  To describe the macular findings on optical coherence tomography (OCT) in patients with cat-scratch disease (CSD) neuroretinitis.
  
  
  METHODS
  Medical records of all patients diagnosed with CSD neuroretinitis at the Tel Aviv Medical Center between April 2006 and May 2010 were retrospectively reviewed. All patients underwent Stratus OCT macular examination.
  
  
  RESULTS
  Eight eyes of seven patients with confirmed CSD neuroretinitis, (mean age 33 ± 9.9 years, range 6-48 years) were included in the study. All patients presented clinically with optic nerve swelling and macular edema or macular exudates. OCT demonstrated flattening of the foveal contour, thickening of the neurosensory retina, and accumulation of subretinal fluid (SRF) in all studied eyes. Retinal exudates appeared as multiple hyper-reflective foci in the outer plexiform layer. The average central macular thickness was 460 μm (range 170-906 μm) and the average maximal retinal thickness was 613 μm (range 387-1103 μm), at presentation. The macula appeared normal on repeated exams during follow-up.
  
  
  CONCLUSIONS
  Similar OCT findings were demonstrated in patients with CSD neuroretinitis. SRF was found in all eyes, although was not visible on clinical examination or fluorescein angiography. OCT may be used as an adjunct imaging tool in the diagnosis and follow-up of patients with CSD neuroretinitis.
authors.affiliation: Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv, Israel. zwilner@hotmail.com
authors.forename: Z
authors.initials: Z
authors.lastname: Habot-Wilner
authors.forename: D
authors.initials: D
authors.lastname: Zur
authors.forename: M
authors.initials: M
authors.lastname: Goldstein
authors.forename: D
authors.initials: D
authors.lastname: Goldenberg
authors.forename: S
authors.initials: S
authors.lastname: Shulman
authors.forename: A
authors.initials: A
authors.lastname: Kesler
authors.forename: M
authors.initials: M
authors.lastname: Giladi
authors.forename: M
authors.initials: M
authors.lastname: Neudorfer
mesh_terms: D000293:Adolescent; D000328:Adult; D002372:Cat-Scratch Disease / Q000473:pathology* / Q000503:physiopathology; D002648:Child; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008269:Macular Edema / Q000473:pathology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D012173:Retinitis / Q000473:pathology* / Q000503:physiopathology; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D041623:Tomography, Optical Coherence / Q000592:standards*; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult