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21 April 2026 : Case report  Japan

Severe Optic Neuroretinitis and Vitreous Hemorrhage in Pediatric Cat-Scratch Disease: A Case With Irreversible Visual Impairment

Unusual or unexpected effect of treatment, Rare disease

Satoko Koga BEF 1,2, Kie Iida ORCID logo EF 3, Hiromi Onouchi B 4,5, Masayuki Washizawa B 6, Toshiaki Goseki ORCID logo AE 5,6*

DOI: 10.12659/AJCR.952592

Am J Case Rep 2026; 27:e952592

Figure 3 Pre-treatment 9-direction panoramic fundus photograph and fluorescein angiography of the right eye. (A) Nine-direction panoramic fundus photograph on day 4 showing optic disc edema with vascular proliferation resembling angiomatosis. This was associated with peripapillary vascular dilation and surrounding exudates. The exudates extend into all peripheral quadrants. Posterior vitreous detachment extending to the midperiphery, preretinal hemorrhage, and mild vitreous hemorrhage were also noted. No findings suggestive of Coats disease or acute retinal necrosis are present. (B) Fluorescein angiography on day 7 showing optic disc vascular dilation and leakage, with leakage from the peripheral retinal vessels in all quadrants. No vascular anastomoses are observed. Fluorescence at the posterior pole is blocked by a vitreous hemorrhage beneath the posterior vitreous detachment. Arrowheads indicate angiomatosis-like vascular proliferation.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923