Einseitiges Verschwommensehen assoziiert mit kombiniertem Makula- und Papillenödem : Fall eines 34-jährigen Patienten (Bild und Fall)

We present clinical images of a case of Leber’s idiopathic stellate neuroretinitis (LISN). A 34-year-old male presented with acute-onset unilateral blurred vision for 5 days. Clinical examination revealed sectorial papillary edema and extensive macular edema in the affected eye. Using optical coherence tomography we detected intraretinal fluid in the outer retinal layers and subretinal fluid under the fovea. Seven days later, the macular edema was completely resolved, and disseminated retinal exudates had appeared, resembling a macular star figure. No underlying systemic disease was identified. Follow-up examination after 3 months demonstrated almost complete spontaneous resolution of fundus changes and near-normalization of visual acuity.