PMC7366227_01
Initial fundus photo of the RE showing optic disc edema.
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Dilated funduscopic exam of the RE showed 1+ vitreous cell and optic disc edema (ODE) (Figure 1).
Initial fundus photo of the LE showing disc edema and a gray macular lesion.
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Initial FA in the RE showing optic disc and small vessel hyperfluorescence.
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Initial FA in the LE showing optic disc and small vessel hyperfluorescence along with a CNVM.
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Initial FA in the LE showed optic nerve and small vessel hyperfluorescence as well as a choroidal neovascular membrane (CNVM) (Figure 4).
MRV showing narrowing of right and left transverse cerebral sinuses without thromboses.
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Magnetic Resonance Venography (MRV) of the brain demonstrated narrowing of the right and left transverse sinuses without thromboses (Figure 5).
Widefield fundus photograph of the right eye showing optic disc edema and temporal atrophic spots.
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Dilated funduscopic exam showed a trace anterior vitreous cell, 360 degrees of ODE, and focal retinal atrophic spots in the RE (Figure 6) and 1+ anterior vitreous cell and haze, 360 degrees of ODE, cystoid macular edema (CME), a gray macular lesion, and scattered atrophic spots throughout the periphery of the LE (Figure 7).
Widefield fundus photograph of the left eye showing optic disc edema, macular thickening with a gray macular lesion, and scattered atrophic peripheral spots.
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Dilated funduscopic exam showed a trace anterior vitreous cell, 360 degrees of ODE, and focal retinal atrophic spots in the RE (Figure 6) and 1+ anterior vitreous cell and haze, 360 degrees of ODE, cystoid macular edema (CME), a gray macular lesion, and scattered atrophic spots throughout the periphery of the LE (Figure 7).
Widefield FA of the RE showing optic disc and segmental large vessel hyperfluorescence.
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Widefield FA of the LE with disc, macular, and diffuse small vessel hyperfluorescence.
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Widefield ICG showing peripheral hypocyanescent spots in the periphery of the RE.
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Widefield ICG showing a hypercyanescent spot in the macula and hypocyanescent spots in the periphery of the LE.
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OCT of the macula showed peripapillary nerve fiber layer thickening with normal foveal contour in the RE.
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RE (Figure 12) and peripapillary nerve fiber layer thickening, diffuse CME, and a pigment epithelial detachment in the LE (Figure 13). Retinal nerve fiber layer- (RNFL-) OCT was thick in both eyes.
OCT of the LE with peripapillary nerve fiber layer thickening, cystoid macular edema with a focal pigment epithelial detachment.
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RE (Figure 12) and peripapillary nerve fiber layer thickening, diffuse CME, and a pigment epithelial detachment in the LE (Figure 13). Retinal nerve fiber layer- (RNFL-) OCT was thick in both eyes.
OCT of the LE three weeks after sub-Tenon's triamcinolone and intravitreal bevacizumab with improved macular edema.
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fig14
There was improvement in acuity to 20/200 along with reduced macular edema (Figure 14).