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Journal Français d'Ophtalmologie
Volume 38, n° 10
pages 974-982 (décembre 2015)
Doi : 10.1016/j.jfo.2015.07.003
Received : 10 June 2015 ;  accepted : 24 July 2015
Posterior segment involvement in cat-scratch disease: A case series
Maladie des griffes du chat et atteinte du segment postérieur : revue de cas

Figure 1

Figure 1 : 

Case No. 5: a 21-year-old male presenting with left-side papilledema, bilateral chorioretinal foci, and fever 1 month in duration. Retinal fluorescein angiography (A–D) revealed bilateral papillary hyperfluorescence associated with leakage; the chorioretinal foci primarily presented with initial hypofluorescence followed by slight centripetal hyperfluorescence upon late-phase angiography (C, D). Upon indocyanine-green angiography, the chorioretinal foci were hypofluorescent in both the early and late phases (E, F). Slight perimacular stellar hypocyanescence was associated with macular starring upon late-phase indocyanine-green angiography (F).

Figure 2

Figure 2 : 

Case No. 7: a 47-year-old male presenting with right papilledema and macular oedema (A), left chorioretinal foci (B), and fever 1 month in duration.

Figure 3

Figure 3 : 

Case No. 8: a 6-year-old female presenting with right papilledema, neuroretinitis with a macular star, and contralateral chorioretinal foci. The right fundus exhibited initial macular starring associated with papilledema (A). Optical coherence tomography revealed macular oedema associated with the macular star (B). At the 1-week follow-up, the macular star had increased in size (C). The left fundus exhibited a chorioretinal focus adjacent to the superotemporal vascular arcade (D).

Figure 4

Figure 4 : 

Case No. 2: a 50-year-old male presenting with left papilledema, branch retinal artery occlusion, and bilateral chorioretinal foci. The left fundus exhibited white retinal oedema indicative of an inferotemporal arterial occlusion associated with an infrapapillary chorioretinal focus (A). Angiography revealed delayed arterial filling in both the early (B) and late (C) phases, and hyperfluorescence of the inferior part of the papilla (C) and of the wall of the nearby inferotemporal artery (indicating vasculitis; B and C). Optical coherence tomography showed that the inner retinal layer oedema was associated with the branch retinal artery occlusion (D).

Figure 5

Figure 5 : 

Case No. 9: a 61-year-old male presenting with right papilledema associated with nasal chorioretinal foci visible in the fundus (A) and via angiography (B). The chorioretinal focus was hypofluorescent in the early phase and exhibited centripetal hyperfluorescence in the late phase (B). The visual field exhibited an altitudinal visual defect associated with anterior ischaemic optic neuropathy (C).

Figure 6

Figure 6 : 

Case No. 10: a 51-year-old male presenting with papilledema, peripapillar haemorrhage, macular oedema, and a slight retrohyaloid haemorrhage.

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