21 April 2026
: Case report 
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
EF 3, Hiromi Onouchi B 4,5, Masayuki Washizawa B 6, Toshiaki Goseki AE 5,6*
DOI: 10.12659/AJCR.952592
Am J Case Rep 2026; 27:e952592
Figure 6 Right eye fundus photograph, OCT, and static perimetry 19 months after treatment initiation. (A) Fundus photograph showing near-complete resolution of prominent exudates surrounding the optic disc. (B) OCT revealing a foveal photoreceptor layer defect, thinning of the RNFL in the superior and inferior quadrants, and marked thinning of the GCL. (C) Humphrey 10–2 visual field; (a) total deviation plot and (b) total deviation probability plot showing decreased central sensitivity consistent with a central relative scotoma (foveal sensitivity, 20 dB). GCL – ganglion cell layer; OCT – optical coherence tomography; RNFL – retinal nerve fiber layer.