Optical Coherence Tomography Features in Idiopathic Retinal Vasculitis, Aneurysms and Neuroretinitis Syndrome

A 15‐year‐old girl complaining of reduced visual acuity (VA) in both eyes since 2 months before was referred to our retina service in January 2011. Best corrected visual acuity was 5/10 in both eyes. External eye examination was normal. Biomicroscopy revealed +1 anterior chamber cells and +1 old vitreous cells bilaterally. Other anterior segment structures and intraocular pressure (IOP) were normal in both eyes. Fundus examination revealed the presence of circinate exudative maculopathy, optic disc swelling, multiple tied knot‐like aneurysmal dilations of peripapillary and optic disc retinal arterioles (macro‐aneurysms), and diffuse retinal vasculitis, bilaterally [Figure 1]. Fluorescein angiography disclosed the presence of saccular aneurysms at the bifurcation of arterioles, optic disc leakage, extensive peripheral non‐perfusion areas and vessel wall staining of arteries and veins especially at the border of peripheral non‐perfusion areas [Figure 2]. Systemic workup including complete blood count (CBC), erythrocyte sedimentation rate (ESR), C‐reac t ive prote in (CRP) , pur i f ied prote in derivat ive (PPD), venereal disease research Optical Coherence Tomography Features in Idiopathic Retinal Vasculitis, Aneurysms and Neuroretinitis Syndrome