Cat-scratch disease is a self-limited infection characterized by subacute regional lymphadenitis, which is usually preceded by a history of being scratched by a cat infected with the Bartonella species. Neuroretinitis, retinochoroiditis, isolated papillitis and peripapillary angiomatosis are features of posterior segment involvement. However, vision loss is very rare. We report a patient with cat-scratch disease associated with unilateral neuroretinitis and peripapillary serous retinal detachment, and discuss its fluorescein and indocyanine green angiographic features.
Adolescent ; Animal ; Anti-Infective Agents/therapeutic use ; Case Report ; Cat-Scratch Disease/*complications/diagnosis/therapy ; Cats ; Fluorescein Angiography ; Human ; Indocyanine Green/diagnostic use ; Lymph Nodes/pathology ; Male ; Retinal Detachment/diagnosis/*etiology/therapy ; Retinitis/diagnosis/*etiology/therapy ; Treatment Outcome ; Trimethoprim-Sulfamethoxazole Combination/therapeutic use ; Visual Acuity

·The authors describe a 2-month-old boy with nonsyndromic cleft lip and palate. On examination, he had bilateral inferior iris colobomas, vitreous veils, optic disc and choroid colobomas. Magnetic resonance imaging(MRI) revealed bilateral colobomatous microphthalmia, retrobulber cysts and thinned optic nerves. Every infant with cleft lip and palate should be examined by an ophthalmologist to detect possible associated ocular abnormalities.