PMC5903145_01
a Colour fundus photograph showing a yellowish-white raised spheroidal lesion at the macula with surrounding subretinal exudates. b c Fundus fluorescein angiogram showing hypofluorescence of the subfoveal lesion in early and mid-phase which became hyperfluorescent with minimal leakage in late phase. d Optical coherence tomography showing a hyperreflective subfoveal lesion with posterior shadowing.
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F1
Fundus examination of the right eye showed a yellowish-white raised spheroidal lesion approximately 1 disc in diameter at the macula with surrounding subretinal exudates (Fig. 1a). Fundus fluorescein angiography showed hypofluorescence of the subfoveal lesion in early and mid-phase which became hyperfluorescent with minimal leakage in late phase (Fig. 1b, c). Optical coherence tomography showed a hyperreflective subfoveal lesion with posterior shadowing and elevation of the overlying retinal layers (Fig. 1d).
Colour fundus photographs at 4-week follow-up showing resolution of the macular lesion and subretinal exudates with surrounding laser scars (laser treatment was done elsewhere) (a) and resolution of the peripheral vessels and subretinal exudation (b). c Follow-up at 8 weeks showing further resolution of the macular lesion and subretinal exudates. d Colour fundus photograph 5 months later showing macular fibrosis.
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F2
The lesion appeared less vascular and the exudates seemed to have decreased (Fig. 2a). The peripheral vessels and subretinal exudation also showed regression (Fig. 2b). Follow-up examination at 8 weeks showed a further decrease in vascularity and subretinal exudates and a reduction in the size of the macular lesion (Fig. 2c). Thereafter, the patient was lost to follow-up and only returned 5 months later when examination showed that the macular lesion appeared more fibrotic (Fig. 2d) with increased subretinal exudates.