==== Front Indian J OphthalmolIndian J OphthalmolIJOIndian Journal of Ophthalmology0301-47381998-3689Medknow Publications & Media Pvt Ltd India 30038179IJO-66-119510.4103/ijo.IJO_49_18Ophthalmic ImageIdiopathic retinal vasculitis, aneurysms, and neuroretinitis Menia Nitin Kumar Kiran Swati Bansal Reema Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India Correspondence to: Dr. Reema Bansal, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India. E-mail: drreemab@rediffmail.com8 2018 66 8 1195 1195 Copyright: © 2018 Indian Journal of Ophthalmology2018This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. ==== Body 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 The patient's mother understands that his name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.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. ==== Refs 1 Samuel MA Equi RA Chang TS Mieler W Jampol LM Hay D Idiopathic retinitis, vasculitis, aneurysms, and neuroretinitis (IRVAN): New observations and a proposed staging system Ophthalmology 2007 114 1526 90.e1 17678691 2 Pichi F Ciardella AP Imaging in the diagnosis and management of idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) Int Ophthalmol Clin 2012 52 275 82 22954951 3 Rouvas A Nikita E Markomichelakis N Theodossiadis P Pharmakakis N Idiopathic retinal vasculitis, arteriolar macroaneurysms and neuroretinitis: Clinical course and treatment J Ophthalmic Inflamm Infect 2013 3 21 23514018 4 Chang TS Aylward GW Davis JL Mieler WF Oliver GL Maberley AL Idiopathic retinal vasculitis, aneurysms, and neuro-retinitis. Retinal vasculitis study Ophthalmology 1995 102 1089 97 9121757 5 Venkatesh P Verghese M Davde M Garg S Primary vascular occlusion in IRVAN (idiopathic retinal vasculitis, aneurysms, neuroretinitis) syndrome Ocul Immunol Inflamm 2006 14 195 6 16766406