CASE REPORT: A 55 year old woman presented with retinal vasculitis, multiple 
aneurysms, macular exudation and widespread retinal nonperfusion and was 
diagnosed with IRVAN. She was treated with panretinal laser photocoagulation. 
After 3 years of follow up visual acuity remains stable and there are no 
complications due to ischaemic sequelae.
DISCUSSION: IRVAN syndrome with neovascularisation can progress rapidly despite 
laser treatment. Panretinal laser photocoagulation has to be considered in the 
early stages as it is effective in stopping the progression of ischaemia.