The term 'neuroretinitis' is a nonspecific description of a heterogeno
us group of disorders which are characterized by optic disc edema and
a macular star figure of exudates. The condition has typically been de
scribed as benign and self-limited with a good visual prognosis. We re
port three cases with poor visual outcome following optic disc edema a
nd a macular star ('neuroretinitis'). We postulate that the poor visua
l outcome in some patients may be due to a superimposed optic disc vas
culitis or ischemic optic neuropathy. Ophthalmologists should be cauti
ous when counselling patients about the visual prognosis in this syndr
ome.