Neuroretinitis
C. G. Maitland and N. R. Miller
Twelve patients had neuroretinitis characterized by optic disc swelling
with marked peripapillary and macular exudates. Individual cases
demonstrated bilateral involvement, associated chorioretinitis, and
symptoms and signs indicating extraocular CNS involvement. Detailed
diagnostic investigation, performed in half of the cases, failed to
demonstrate a cause. A temporal relationship to viral disease was present
in five of 12 cases, although clinical findings in some cases indicated the
condition does not simply represent a monophasic response to viral illness.
Regardless of the degree of initial visual impairment or the severity of
disc swelling and retinal involvement, ultimate visual outcome was
generally excellent, but visual impairment persisted in some patients.
