Peripheral occlusive retinal vasculitis and associated hemi-central retinal vein occlusion in the same eye with suspected neuroretinitis: A rare case report

Abstract

We describe a case of an 18-year-old male with decreased vision in the left eye (LE) over two weeks. At presentation, his uncorrected visual acuity was 6/6 in the right eye and light perception (PL+ve) in the LE. On ophthalmic examination, both eye’s anterior segments were unremarkable except a relative afferent pupillary defect in the LE. Posterior segment of the LE revealed peripheral active occlusive retinal vasculitis and hemi-central retinal vein occlusion superiorly along with suspected neuroretinitis. The diagnosis was confirmed with fundus fluorescein angiography and optical coherence tomography macula. He was not known to have any systemic illness previously and after relevant systemic investigations, he was treated empirically with intravenous methylprednisolone, oral steroids, anti-tubercular therapy, and anti-toxoplasma therapy. Retinal laser photocoagulation was done to the capillary non-perfusion areas. After three months from the day of presentation, visual acuity improved to 6/6 (partial), N6 in his LE.