PMC3872144_01
Fundus photography, fluorescein angiography, and indocyanine green angiography.. Notes: (A and B) Fundus photograph showing a mild staphyloma with some pigmentary changes in the (A) right and (B) left fovea. (C-F) Fluorescein angiography showing hyperfluorescence in the (C and E) right and (D and F) left fovea resulting from a retinal pigment epithelium defect. (C and D) Early- or (E and F) late-phase fluorescein angiography image showing no leakage point. (G-J) Indocyanine green angiography showing mild hypofluorescence in the area of retinal pigment epithelium atrophy in the (G and I) right and (H and J) left fovea. (G and H) Early- or (I and J) late-phase indocyanine green angiography image showing no choroidal vascular hyperpermeability.
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Funduscopy showed a mild staphyloma with some pigmentary changes in the fovea in both eyes (Figure 1A and 1B). Fluorescein angiography (HRA2; Heidelberg Engineering GmbH, Heidelberg, Germany) showed hyperfluorescence in the fovea in both eyes resulting from a retinal pigment epithelium defect, but there was no leakage point (Figure 1C and 1D). Indocyanine green angiography (HRA2; Heidelberg Engineering) in both eyes revealed punctuate hyperfluorescence in the fovea with no vascular hyperpermeability (Figure 1E and 1F).
Spectral domain optical coherence tomography in both eyes at initial and follow-up visits for dome-shaped macula with serous foveal detachment.. Notes: Spectral domain-optical coherence tomography in both eyes at (A and B) initial and (C-J) follow-up visits for dome-shaped macula with serous foveal detachment. (A and B) Cross-line spectral domain optical coherence tomography scan showing the anterior bulge of the macula involving the retina, retinal pigment epithelium, and choroid. Horizontal optical coherence tomography scan showing a shallow retinal detachment in the fovea at the initial visit. (C-J) Follow-up horizontal optical coherence tomography scan showing fluctuation and resolution of the retinal detachment in the right and left eyes, respectively.
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SD-OCT (CIRRUS HD-OCT; Carl Zeiss Meditec AG, Jena, Germany) in both eyes showed an anterior bulge of the macula with SFD in the horizontal scan (Figure 2A and 2B). Three months later, SFD seen at the initial visit disappeared on SD-OCT (Figure 2C and 2F), and the patient's BCVA was 1.2 and 1.0 in the right and left eyes, respectively. One month later, there was an occurrence of SFD in the right eye (Figure 2G and 2H), although subjective visual worsening was not reported. One month later, the SFD had disappeared (Figure 2I and 2J), and the patient's BCVA was 0.9 in the right eye.