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December 1997

Hypertensive Retinopathy Simulating Leber Idiopathic Stellate Neuroretinitis

Author Affiliations

New York, NY

Arch Ophthalmol. 1997;115(12):1594-1595. doi:10.1001/archopht.1997.01100160764020

Leber idiopathic stellate neuroretinitis, first described in 1916, may be considered a clinical syndrome complex characterized by (1) sudden onset of visual loss (usually monocular), (2) partial or complete macula star exudate (preceded by a peripapillary exudative neurosensory retinal detachment), and (3) optic nerve swelling with disc capillary leakage. In most cases the origin is unknown although various infectious agents (eg, cat scratch disease, mumps, leptospira, or syphilis) or vascular disorders (eg, acute systemic hypertension, increased intracranial pressure, or ischemic optic neuropathy) have been associated with this syndrome.1-3 The following patient was initially seen with a central serous detachment of the macula without obvious optic disc edema. Findings from subsequent studies and follow-up examinations indicated the typical syndrome complex, probably as a result of systemic hypertension.

Report of a Case.  A 45-year-old black woman had the sudden onset of blurred vision in the left eye (documented visual acuity was

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