Purpose: There is insufficient literature reporting the concurrent occurrence of retinal ischemic lesions with optic neuritis. In this case report. we present a distinctive instance of Optic Neuritis with a positive Myelin Oligodendrocyte glycoprotein (MOG) antibody. accompanied by retinal ischemia manifesting as paracentral acute middle maculopathy (PAMM) lesions. https://www.sukrensi.com/