We report a case of peripapillary subretinal neovascular membrane in association with optic disc drusen in a patient with the VACTERL (Vertebral defects, anal atresia, cardiac malformations, tracheoesophageal fistula with atresia, renal anomalies, and limb anomalies) association.

A 13-year-old girl with the VACTERL association was referred to the ophthalmology department complaining of reduced visual acuity in the left eye for the past 4 weeks and a possible diagnosis of papilloedema. A CT scan of the brain performed by the paediatricians was reported as normal. A lumbar puncture was considered, but a decision was made to refer her to the ophthalmic department for further investigations prior to the lumbar puncture.

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