Neuroretinitis

Maitland, Charles G.; Miller, Neil R

doi:10.1001/archopht.1984.01040030924014

Cited by 89 publications

(57 citation statements)

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“…13,17 Neuroretinitis is characterised usually by a swollen optic nerve accompanied of papillo-macular or serous macular detachment of the retina associated to hard exudates in the macula distributed in a star shape. 14,16,23,24 We have observed another form of involvement of the optic disc due to toxoplasmosis that would be caused secondarily by an active distant retinal lesion. 9 In these cases there is an active focal necrotising retinochoroiditis lesion located at variable distances from the optic disc that presents changes that resembles papillitis.…”

Section: Introductionmentioning

confidence: 45%

Optic nerve changes in ocular toxoplasmosis

Eckert

Melamed

Menegaz

2006

Eye

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Purpose To determine the prevalence and features of the different types of involvement of the optic nerve in ocular toxoplasmosis. Methods Retrospective cross-sectional study. All patients with active ocular toxoplasmosis, consulting in the Uveitis Section of the Ophthalmology Department were selected. The involvement of the optic nerve was classified in the following categories: juxtapapillary retinochoroiditis, pure papillitis, neuroretinitis, distant lesion, and mixed lesion. Results The prevalence of involvement of the optic nerve found was 5.3%. The optic nerve involvement with the presence of a concurrent active distant lesion, occurred in 22 eyes (43.1%). A juxtapapillary lesion was found in 18 eyes (35.3%). Eight eyes (15.7%) presented lesions characterised as mixed. Isolated papillitis occurred in 3 eyes (5.9%). Fortyseven lesions (95.9%) were unilateral and two (4.1%) were bilateral. Twenty-eight eyes (54.9%) had pre-existing lesions and 23 (45%) were primary lesions. Visual acuity improved in 35 eyes (71.4%) and remained unchanged in 14 eyes (28.5%). Conclusion The involvement of the optic nerve most frequently found in ocular toxoplasmosis was optic nerve oedema with a concurrent distant active lesion. The second type of lesion most often found was juxtapapillary retinochoroiditis. Involvement was monocular in most cases and the visual prognosis was favourable.

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Section: Introductionmentioning

confidence: 45%

Optic nerve changes in ocular toxoplasmosis

Eckert

Melamed

Menegaz

2006

Eye

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“…Atypical optic neuritis compared with DON is more commonly associated with underlying inflammatory or infectious disorders such as syphilis, Lyme disease, sarcoidosis, giant cell arteritis and lupus; atypical optic neuritis should prompt careful evaluation for these alternative diagnoses including select laboratory testing not typically required for DON [16]. When macular exudates evolve into a sunburst or star-like pattern around the fovea ('macular star'), it is highly suggestive of neuroretinitis [78]. Complicating the diagnosis, macular exudates often develop weeks after vision loss as subretinal fluid is absorbed.…”

Section: Afferent Sequelae Optic Neuritis: Clinical Featuressupporting

confidence: 38%

The Neuro-Ophthalmology of Multiple Sclerosis

2012

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Multiple sclerosis (MS) is a disease marked by focal demyelinating inflammatory plaques throughout the CNS. Neuro-ophthalmologic sequelae are common in MS and may arise from the disease itself or from treatment of the disease. Both afferent and efferent functions may be affected. Despite much progress, our understanding of the pathophysiology of MS, and the efficacy of our available treatments, remain inadequate. Here, we review the chief neuro-ophthalmologic abnormalities associated with MS and discuss the emerging diagnostic and therapeutic advances that are likely to further our understanding of MS and its treatment.

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“…It can be either infectious or idiopathic and is characterized by acute unilateral vision loss [1,2]. Leber originally described it in 1916 as a "stellate maculopathy" [3] but Don Gass disputed this definition in 1977, citing that disc edema precedes macular exudates [4].…”

Section: Introductionsupporting

confidence: 42%

Untitled

2017

AOVS

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A 16-year old senior high school girl presented with painless progressive blurring of vision in the right eye at Sight for Africa Eye Clinic in Darkuman, Ghana. The condition, she reported, started 14 days ago. There was no history of ocular trauma, refractive error, or any sight-threatening condition such as glaucoma. Her medical history, as far as she was concerned, was negative. She had not come into contact with cats or other pets recently or in the past. Following a detailed history taking and a comprehensive examination, she was diagnosed with idiopathic neuroretinitis. Neuroretinitis is a focal inflammation of the optic nerve and peripapillary retina or macula of either infectious or idiopathic etiology, and is characterized by acute unilateral vision loss and macular star-shaped exudates. Keywords:

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Neuroretinitis

Cited by 89 publications

References 0 publications

Optic nerve changes in ocular toxoplasmosis

Optic nerve changes in ocular toxoplasmosis

The Neuro-Ophthalmology of Multiple Sclerosis

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