We describe a healthy 37-year-old man with Bartonella henselae
) neuroretinitis with concurrent central retinal vein occlusion
and ischemic optic neuropathy
resulting in optic atrophy and choroidal ischemia
A 37-year-old man presented with unilateral decreased vision and a fundus examination consistent with neuroretinitis. Further imaging review supported a concurrent diagnosis of central retinal vein occlusion
. Although initially negative, repeat serological testing for B. henselae
infection was positive. Multimodal imaging displayed severe outer retinal disruption, ischemic optic neuropathy
, and choroidal ischemia
. The patient demonstrated near complete resolution of fundus findings and restoration of outer retinal architecture. Residual findings included optic disk pallor and ischemic choroidopathy.
Discussion: B. henselae
neuroretinitis may be associated with concurrent retinal vascular occlusive disease and ischemic optic neuropathy
. Central retinal vein occlusion
and choroidal ischemia
leading to optic nerve atrophy are additional sequelae further expanding the clinical spectrum of this entity.