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Arch Ophthalmol. 1998;116:1249-1251.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hong et al¹ described 6 young, otherwise healthy patients who each had a type of inflammatory lesion of the choroid that had not been described previously in the literature. The lesion consisted of a solitary round, yellow-white focus of choroiditis in the posterior pole associated with overlying subretinal fluid. In none of the cases was an infectious or systemic inflammatory origin identified. The authors named the disorder "unifocal helioid choroiditis" to emphasize the lesion's resemblance to the sun.

We observed a similar ophthalmoscopic picture in a young man who also had historical and serologic evidence of cat-scratch disease. It would appear that infection with Bartonella (formerly Rochalimaea ) henselae, the microbial agent of cat-scratch disease, is responsible for at least some cases of helioid choroiditis.

Report of a Case

A 20-year-old man reported progressive loss of vision in his right eye over 6 days and a severe headache that had been present for . . . [Full Text of this Article]

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Corresponding author: Stephen C. Pollock, MD, Duke University Eye Center, Box 3802, Durham, NC 27710.