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Photo Essay
August 2003

Bilateral Neuroretinopathy With Multiple Retinal Arterial Aneurysms

Arch Ophthalmol. 2003;121(8):1206-1207. doi:10.1001/archopht.121.8.1206

A 36-YEAR-OLD woman sought treatment for sudden onset of an inferonasal scotoma in the right eye. Her condition was diagnosed as bilateral neuroretinitis with branch retinal vein occlusion and treated with oral prednisone (60 mg once daily) and ciprofloxacin (500 mg twice daily); however, she saw no improvement during the next 4 months. Findings from a systemic evaluation, including erythrocyte sedimentation rate, rapid plasma reagin level, lysozyme level, purified protein derivative level, Bartonella henselae titer, anticardiolipin antibody level, lupus anticoagulant level, and a chest radiograph, were normal. The possibility of Behçet disease was raised, and the patient was referred to the Doheny Eye Institute, Los Angeles, Calif.

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