PMC8138240_01
a Color fundus photograph demonstrating inferotemporal pigmented chorioretinal lesion (white arrow) with associated subretinal fluid (white star). Sheathing of the inferotemporal arterioles and venules (black arrows) and adjacent intraretinal hemorrhage (black star). b, c Fluorescein angiography demonstrating early blocking in the area of the pigmented chorioretinal lesion with late leakage and pooling. d OCT demonstrating a focal area of retinal thinning with adjacent subretinal lesion and a large amount of subretinal fluid. e Macular scan demonstrating subfoveal fluid. OCT, optical coherence tomography.
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F1
Subtle sheathing of the inferotemporal arterioles and venules and adjacent intraretinal hemorrhage were noted on biomicroscopic evaluation (Fig. 1a). Fluorescein angiography of the left eye demonstrated blocking early in the area of the pigmented chorioretinal lesion with late leakage and pooling (Fig. 1b, c). Optical coherence tomography (OCT) showed a focal area of retinal thinning inferotemporally with adjacent subretinal lesion and a large amount of subretinal fluid (Fig. 1d). Macular OCT demonstrated subfoveal tracking of fluid from inferotemporal macula and cystic intraretinal fluid centrally (Fig. 1e). Vitreous opacities were noted overlying the area of inferotemporal subretinal fluid as well as the optic nerve (Fig. 1d, e).
a Color fundus photograph 5 weeks after initial presentation demonstrating inferotemporal pigmented chorioretinal scar (white arrow) with improvement of subretinal fluid revealing active retinochoroiditis adjacent to the old toxoplasmosis scar. b OCT demonstrating active TRC lesion with overlying vitreous cell. c Macular scan demonstrating resolution of subfoveal fluid. +Image copyright holder is the Department of Ophthalmology and Visual Sciences at the University of Michigan W.K. Kellogg Eye Center. OCT, optical coherence tomography.
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F2
Fundus examination 5 weeks after initial presentation demonstrated near complete resolution of subretinal fluid, no vitreous cell, and active retinochoroiditis adjacent to the old toxoplasmosis scar (Fig. 2a, b). Macular scan demonstrated resolution of subfoveal fluid (Fig. 2c).