PMC10062070_01
(a) Color fundus photograph of the right eye showing disc edema. (b) Color fundus photograph of the left eye showing disc edema and splinter hemorrhage nasal to the optic disc (white arrow)
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F1
Dilated fundoscopy revealed bilateral optic disc edema, with splinter hemorrhage near the optic disc in the left eye [Figure 1a and b].
40X light microscopic features of renal biopsy showing epithelioid cell granuloma (white arrow) with caseous necrosis (white star) and Langhans type giant cell (black arrow)
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F2
As there was persistent subnephrotic proteinuria with active sediments, renal biopsy was done which was suggestive of epithelioid cell granuloma along with Langhans type of giant cell and caseous necrosis [Figure 2].
(a and b) Color fundus photograph of the right and left eyes 2 months following presentation showing complete resolution of disc edema
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F3
After 2 months, there was a complete resolution of disc edema [Figure 3a and b].