Acute bilateral optic disc neovascularization

A case of bilateral acute neovascularization of the optic disc and peripapillary epiretina of unknown etiology in a previously healthy 26-year-old woman is discussed. The clinical course of the disease, investigation, and treatment are presented in detail. Histopathologic examination of epiretinal tissue removed from the second eye at vitrectomy provided evidence of inflammatory disease and suggested a possible etiology. The cause of this patient's disease remains uncertain. Known causes of this disease were excluded as far as possible. Histopathologic examination of the epiretinal membrane from the second eye demonstrated an unusually increased inflammatory response and multiple intracytoplasmic inclusion bodies in neutrophils resembling mollicute-like organisms.