Neuroretinitis with Sub-Henle Fiber Layer Exudates

The macular star present in most cases of neuroretinitis is the result of exudates settling in Henle Fiber Layer (HFL). It has been previously reported in the literature that recurrent neuroretinitis can present with atypical retinal exudates that are more drusenoid in appearance and are more peripapillary as opposed to the traditional macular start configuration. Here we present a case of neuroretinitis with these atypical exudates along with imaging to provide a potential anatomic explanation for these findings.