Idiopathic retinal vasculitis, aneurysms, and neuroretinitis.

A 21-year-old male with decreased vision (4/60 both eyes) for 3 months presented with idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) as seen by disc edema, vascular sheathing, and exudates in macula and around the disc [Fig. 1a and b], with aneurysmal dilatations on optic nerve head and retinal arterioles at or near their bifurcations on ultra-widefield fluorescein angiography [Fig. 1c and d].[12345] Laboratory workup was normal. Three months following oral prednisolone, both eyes’ macular edema decreased with two-line visual improvement. Although an isolated retinal vascular disease, IRVAN can cause severe visual loss due to neovascular sequelae.[12345]

Figure 1

Ultra-widefield fundus photograph showing disc edema, vascular sheathing, and exudates in macula and around the disc in the right (a) and left (b) eyes. Ultra-widefield fundus fluorescein angiography confirmed aneurysmal dilatations on the optic nerve head and retinal arterioles at or near their major branching sites in both eyes (c and d)

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient's mother has given the consent for his images and other clinical information to be reported in the journal. The patient's mother understands that his name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.