PMC7154246_01
Fundus photographs obtained at the initial examination (a: right eye, b: left eye) showing sunset-glow fundus in both eyes.
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F1
Both eyes showed a sunset-glow fundus (Fig. 1a, b), and optical coherence tomography (OCT) showed irregular retinal pigment epithelium in the macular region of the right eye and SRD and RPED in the macular region of the left eye (Fig. 2a, b).
Fluorescein angiography image of the patient's left eye obtained at the initial examination showing hyperfluorescence due to window defect in an area from the optic disc to the macular region and hyperfluorescence presumably due to CNV.
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F3
Fluorescein angiography showed hyperfluorescence due to window defect in an area from the optic disc to the macular region in the left eye and hyperfluorescence presumably due to CNV (Fig. 3).
Indocyanine green angiography image of the patient's left eye obtained at the initial examination showing hyperfluorescence presumably due to CNV in an area from the optic disc to the macular region.
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F4
Indocyanine green angiography also showed hyperfluorescence presumably due to CNV at the same site(Fig. 4).
Fundus photograph (a) and OCT image (b) of the patient's left eye obtained at 6 weeks after his initial presentation. Although macular subretinal hemorrhage occurred, it was spontaneously absorbed.
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F5
At 6 weeks after his initial visit, macular subretinal hemorrhage occurred in the left eye (Fig. 5a), and his left-eye VA decreased to 0.3. SRD in the macular region of the left eye (Fig. 5b). Subsequently, the subretinal hemorrhage was spontaneously absorbed, and the corrected VA improved to 0.6.
Fundus photograph (a) and OCT image (b) of the patient's left eye obtained at 3 years after his initial presentation showing recurrence of the macular-region subretinal hemorrhage.
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F6
However, 3 years after his initial visit, macular subretinal hemorrhage recurred in the left eye (Fig. 6a), and his left-eye corrected VA decreased to 0.06. OCT showed RPED and hemorrhagic RD in the macular region of the left eye (Fig. 6b).
Fundus photograph of the patient's left eyeobtained at 2 days after the gas injection. The macular-region subretinal hemorrhage was inferiorly displaced, and was then spontaneously, yet gradually, absorbed.
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F7
His left-eye corrected VA then improved to 0.4 (Fig. 7), and OCT findings showed relief of the SRD and RPED (Fig. 8).