Abstract
O ptic disc edema with macular star is a descriptive term encompassing a heterogeneous group of disorders. It is usually idiopathic, but infectious causes, such as syphilis, Lyme disease, cat-scratch disease, toxoplasmosis and viral infection, should be considered. 1-7 In 1916 Leber8 described a syndrome with optic disc edema and macular star. Leber's idiopathic stellate neuroretinitis, originally known as Leber's stellate maculopathy, is a relatively uncommon clinical entity characterized by unilateral optic disc edema followed by the development of a macular star. Exudative deposits in the macula in a stellate pattern are the result of primary optic nerve disease and not retinal inflammation. For this reason some authors have suggested the term idiopathic optic disc edema with a macular star rather than neuroretinitis for idiopathic cases. l The clinical features include severe visual loss, optic disc swelling, exudative detachment of the peripapillary retina, macular star and spontaneous resolution of hard exudates in otherwise healthy young patients.813
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have