1. Neuroretinitis Rupesh Agrawal, Carlos Pavesio Moorfields Eye Hospital,
NHS Foundation Trust,
London, United Kingdom

2. Ocular History 41, male, British
3 week history of acute VA decrease OD, no pain
no redness, no h/o injury or drug intake
H/o rheumatoid arthritis on oral Prednisolone 10mg/day and oral Methotrexate
no previous ocular history
H/o bitten by a cat few weeks ago

3. First Presentation VA: OD 6/24, OS: 6/6 Colour vision: 15/15
AC no cells, mild vitreous cells

4. First Presentation – Fundus and FLA OD
exudates and edematous disc with peripapillary hemorrhage,
confirmation of findings on infrared picture and leaky disc on FLA

5. First Presentation - Investigations
Serology positive Bartonella titer > 2500

6. Diagnosis Neuroretinitis, suggestive for Bartonella induced based on
the positive serology and
the clinical findings

7. Treatment Doxycycline 100mg twice daily for 2 weeks
Given for six weeks

8. Follow up – After 1 Month OD
less exudates and less hyperemic disc

9. Final Follow up – After 4 months
lesion completely resolved at end of six weeks
vision resolved completely
no further relapses