PMC4003269_01
Fundus photograph and fluorescein angiography after surgery.. Notes: (A) Fundus photograph at 20 hours after surgery showing a cherry-red spot and multifocal retinitis with sheathing of the retinal arteries. (B) Fluorescein angiography at 20 hours after surgery showing evidence of the plaques on the walls of blood vessels, the periarterial exudates, and obstruction to blood flow. (C) Fundus photograph at 2 months after surgery showing disappearance of the cherry-red spot.
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A postoperative fundus examination revealed characteristic findings (Figure 1A) and fluorescence angiography demonstrated optic disc leakage, poor retinal perfusion, and periarterial plaques (Figure 1B). The patient was treated with oral acetylspiramycin (1,200 mg/day) and oral prednisone (20 mg/day). Two months after surgery, the lesion had slowly regressed (Figure 1C).
Fundus photograph and fluorescein angiography at 3 months after surgery.. Notes: (A) Fundus photograph showing a large area of active retinochoroiditis that seemed to point toward the macula. (B) An early-phase image showing early blockage of active lesion. (C) A late-phase image showing subsequent leakage of the lesion.
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An examination showed that there was a large area of active retinochoroiditis that seemed to point toward the macula (Figure 2A). Fluorescence angiography of the active lesion demonstrated early blockage with subsequent leakage from the lesion (Figure 2B and C).