Ultra-wide imaging in a case of retinal vasculitis with macular star

Description

A 13-year-old Indian girl presented with painless vision loss in left eye since 3 months which was gradual in onset. She had been treated with intravenous steroids for optic neuritis 2 months earlier when her visual acuity had improved from 20/200 to 20/20 in left eye. Currently, she complained of recurrent episodic vision loss while taking low-dose oral steroids. On examination, visual acuity was 20/20 in right eye and 20/30 in left eye. Retrolental cells were present in both eyes (left greater than right) while intraocular pressures were normal. Fundus examination revealed active phlebitis with collateral vessels, vascular sclerosis and suspicious areas of new vessels in both eyes. Left eye additionally had a macular star (figure 1). She was clinically diagnosed to have bilateral retinal vasculitis with left eye macular star. Systemic examination was within normal limits.

Figure 1

(A) Ultra-wide field image...

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