Neuroretinitis in a young woman

• Neuroretinitis is unilateral optic nerve head edema followed 2–4 weeks later by development of macular star. • Typically, severe optic nerve head edema is out of keeping with relatively preserved visual function. • As the site of pathology are leaky capillaries on optic nerve head and not optic nerve axons, RAPD is mild or not present. • Most cases are either idiopathic or secondary to specific infectious etiologies. • Patients with neuroretinitis are not at risk of developing multiple sclerosis and do not require neuro-imaging in most cases.