PMC10032287_01
Humphrey's visual field examination of the right eye shows an enlargement of the blind spot enlargement with MD: -4.58 db. MD: Mean deviation
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F1
Humphrey's visual field (HVF) demonstrated an enlargement of the blind spot of the right eye with a mean deviation (MD) of - 4.58 dB, P <1%, and pattern standard deviation of 11.69, P < 0.5% [Figure 1].
In the upper left fundus, photograph reveals multiple white lesions around the optic disc. Fluorescein angiography shows early hypofluorescence and late hyperfluorescence that correlated with the multiple punched-out lesions without optic disc staining
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F2
Fluorescent angiography revealed hypofluorescence in the early phases and hyperfluorescence in the late phases that correlated with the multiple punched-out lesions without optic disc staining [Figure 2].
ICG angiography demonstrated choroidal silence since the early phases according to the retina lesions. ICG: Indocyanine green angiography
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F3
Indocyanine green angiography demonstrated "choroidal silence" during all phases [Figure 3].
Right: 3-year follow-up right eye fundus photograph shows atrophic areas where the previous white lesions existed. Autofluorescence reveals hypoautofluorescent spots around the optic disc while the OCT macula remains unremarkable. OCT: Optical coherence tomography
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F4
The blind spot remained stable over a period of 3 years, but fundoscopy revealed areas of focal retinal atrophy at the same spots where the previous white lesions existed [Figure 4].