From the Clinic of Neurology and Psychiatry for Children and Youth (B.N., N.I., A.P., M.K., J.M., J.S., J.J.); Center for Endocrine Surgery (B.R.), Clinical Center of Serbia; Faculty of Medicine (B.R., J.S., J.J.), University of Belgrade; and Institute of Pharmacology (J.S.), Clinical Pharmacology and Toxicology, Belgrade, Serbia.
Neurology. 2022 May 24;98(21):896-900. doi: 10.1212/WNL.0000000000200572. Epub 2022 Mar 29.
Neuroretinitis due to infection is a rare cause of vision loss in children. Two pediatric cases of acute unilateral vision loss accompanied by edema of the optic nerve on fundoscopic examination are presented. Severe causes of vision loss were excluded. During the course of the disease, macular stellate exudates emerged on control fundoscopic examinations, and diagnosis of neuroretinitis was made. A causative agent was confirmed by serologic examination, as high titers of IgM and IgG antibodies to were detected. Both patients significantly recovered after oral antibiotic treatment.
感染引起的神经视网膜炎是儿童视力丧失的罕见原因。现报告两例儿科急性单侧视力丧失伴眼底检查视神经水肿的病例。已排除严重的视力丧失原因。在疾病过程中，眼底检查出现黄斑星状渗出物，诊断为神经视网膜炎。通过血清学检查确定了病原体，检测到针对 的高滴度 IgM 和 IgG 抗体。两例患者经口服抗生素治疗后均明显恢复。
