University of Iowa Health Care

Ophthalmology and Visual Sciences

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Bartonella Neuroretinitis

Contributor: Contributor: Jeffrey Welder, MD

34-year-old female diagnosed with Bartonella neuroretinitis and cilioretinal artery occlusion of the left eye. She presented with a "gray spot" in her vision. Exam revealed an RAPD OS. Photos demonstrate appearance on presentation, 1 week, 3 weeks, 4 weeks, and 8 weeks after presentation. Patient was treated with oral Azithromycin at 5 weeks after presentation when positive bartonella serology returned.

Photo sequence:

Initial presentation

bartonella neuroretinitis, presentation


Week 1

Bartonella neuroretinitis, week 1


Week 3

Bartonella Neuroretinitis, week 3


Week 4

Bartonella Neuroretinitis, week 4


Week 8

Bartonella neuroretinitis, week 8


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last updated: 1/24/2014
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