PMC3052636_01
(A) Color fundus photograph of the right eye showing a well demarcated area of subretinal fluid in the superonasal macula. (B) Optical coherence tomography of the right eye showing subretinal fluid within the superior macula extending very close to the foveal center. (C) Early frame fluorescein angiogram of the right eye showing focal area of leakage in the superonasal macula. (D) Late frame fluorescein angiogram of the right eye showing increasing leakage with pooling into the area of subretinal fluid.
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F1
Dilated fundus examination of the right eye disclosed an area of serous detachment in the superonasal macula extending toward the center of the fovea (Fig. 1A). Optical coherence tomography (OCT) confirmed the presence of subretinal fluid in the superonasal macula just sparing the foveal center (Fig. 1B). Fluorescein angiography showed a focal spot of leakage at the level of the RPE in the superonasal macula with pooling of dye into the area of subretinal fluid seen on ophthalmoscopy (Figs. 1C, D).
(A) Color fundus photograph and (B) optical coherence tomography of the right eye showing a dramatic increase in subretinal fluid after focal laser photocoagulation. (C) Early and (D) late frame fluorescein angiograms of the right eye showing a new area of leakage just below the area treated with laser photocoagulation with later leakage and pooling of dye.
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F2
Repeat funduscopic examination disclosed a dramatic increase in subretinal fluid (Fig. 2A) that was confirmed by OCT (Fig. 2B). Fluorescein angiography showed a new area of leakage at the inferior edge of the laser scar (Figs. 2C, D).
(A) Color fundus photograph and (B) optical coherence tomography of the right eye showing a reduction in the amount of subretinal fluid after PDT. (C) Early and (D) late frame fluorescein angiograms showing mild dye transmission in area treated by focal laser with late staining of the laser scar in the superonasal macula.
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F3
One week later visual acuity had improved to 20/60 without correction and the subretinal fluid had decreased in size both on exam and by OCT (Figs. 3A, B). Furthermore, there was no longer leakage on fluorescein angiography (Figs. 3C, D).
(A) Color fundus photograph and (B) optical coherence tomography of the right eye showing complete resolution of subretinal fluid and a faint pigmented scar in the location of prior laser photocoagulation. (C) Early and (D) late frame fluorescein angiograms showing early hypofluorescence in the area of prior leakage and late staining of the laser scar with no leakage.
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F4
Funduscopic exam and OCT showed no subretinal fluid and FA continued to show no leakage (Fig. 4).