A 44-year-old male presented with sudden onset, diminution of vision in both eyes for 10 days. He gave history of fever, myalgia, and weakness one week prior to onset of ocular problem. He was previously healthy, not known to have diabetes mellitus or hypertension. There was no relevant family or social history of medical significance. During clinical evaluation and laboratory investigation for fever; typhoid, malaria, tuberculosis, syphilis, collagen vascular disease and bleeding disorders were absent. He was diagnosed to have dengue fever as NS1 antigen and IgM antibody were positive. After conservative management, his platelet count had improved from 49x103/microL to 176x103/microL (normal range, 150-450x103/microL) over a week period. At presentation, his best-corrected visual acuity was 1/60 in the right eye (OD) and 6/18 in the left eye (OS). Anterior segment findings were normal. Fundus examination revealed vitritis, perivascular exudates, intraretinal hemorrhages, macular edema, peripapillary retinal whitening, and cotton wool spots in both eyes, with additional retinal whitening affecting the right macula (Figure 1). Fundus fluorescein angiography revealed disc and perivascular leakage limited to posterior pole along with patches of blocked fluorescence. In addition, there was capillary nonperfusion due to occlusion of multiple small arterioles supplying the macula of the right eye confirming macular ischemia (Figure 2). Optical coherence tomography of both eyes demonstrated macular edema with subretinal fluid. A diagnosis of bilateral retinal vasculitis with right eye macular infarction was made. Echocardiography and carotid Doppler studies revealed normal cardiac and carotid artery status. The patient was treated with intravenous methylprednisolone which was futile even after three days of treatment. Then he was counseled for treatment with immunoglobulin, which the patient refused and left for a second opinion without returning back to us.