PMC9169136_01
(a) Fundus photography of right eye discloses white patchy foci of retinitis and intraretinal hemorrhages along the superotemporal branch of retinal vessels and yellow paracentral ischemia in macula due to occlusive vasculitis. (b) Early phase of fluorescein angiography reveals delayed filling of superotemporal branch of retinal vein and hypofluorescent areas corresponding to intraretinal hemorrhages. (c) Late phase of the fluorescein angiography shows staining of superotemporal branch of retinal vein without remarkable leakage. (d) Optical coherence tomography shows paracentral irregular hyper-reflective band extending from the outer plexiform layer to the inner plexiform layer.
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F1
Funduscopic examination of right eye disclosed white patchy areas of retinitis and intraretinal hemorrhages along the superotemporal branch of retinal vessels and yellow colored paracentral macular ischemia (Fig. 1a). FFA showed delayed filling of superotemporal retinal vein, staining of venous wall, ischemia along the side of vein without leakage (Fig. 1b, Fig. 1c). Optical coherence tomography showed the features of paracentral acute middle maculopathy; band-like hyper-reflective plaque at the level of the inner nuclear layer extending from the outer plexiform layer to the inner plexiform layer at paracentral location (Fig. 1d).
(a) In the control visit at 4th week of treatment, fundus photograph shows that white foci of retinitis had almost disappeared and temporal to macula white centered retinal hemorrhages resembling Roth spots persist. (b) Optical coherence tomography reveals edema in temporal macula.
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F2
In the control visit at 4th week of treatment, best corrected visual acuity was 20/50, retinitis resolved but macular edema had developed (Fig. 2a, Fig. 2b).
(a) The left fundus photograph 14 months after presentation reveals the disc and retinal vasculature has returned to normal. There is superotemporal atrophic retinal scarring due to photocoagulation. (b) Optical coherence tomography discloses a slight temporal macular atrophy mainly in inner retinal layers.
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F3
At the 1st year of the treatment her visual acuity was 20/80 and there was no edema and neovascularization (Fig. 3a, Fig. 3b).