PMC7452953_01
OCT and infrared images show multiple serofibrinous retinal detachments in the right (A, C) and left (B, D) eye and a thickened choroid measured with EDI-OCT (A).
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F1
A thickened choroid - estimated at 1000 microm - was detected on enhanced depth imaging optical coherence tomography (EDI-OCT) (Figure 1 (Fig. 1)). Infrared imaging showed serous detachments with a center of slightly increased intensity surrounded by decreased intensity (Figure 1 (Fig. 1)).
Late-phase fluorescein angiography shows tiny leakage points with limited leakage in the subretinal space (A, B) and discrete staining of the left optic disc (B).
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F2
Fluorescein angiography (FA) revealed small leakage points at the level of the serous detachments, limited staining of the optic disc in the left eye (without staining in the right eye) and masking effect due to neurosensory detachments (Figure 2 (Fig. 2)).
Fundoscopic images three weeks after initial presentation show multiple yellow deposits scattered around the vascular arcades (A and B, see arrows), with corresponding mild hyperautofluorescence (C, D).
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F3
Over the next two weeks, the serous retinal detachments resolved completely in the left eye and decreased markedly in the right eye, with distinct deposition of some yellowish, slightly hyperautofluorescent vitelliform material in the subretinal space (Figure 3 (Fig. 3)).
Three months after initial presentation, there was total resolution of the exudative retinal detachments in the right (A) and left (B) eye with normalization of choroidal thickness and an almost complete resorption of the vitelliform lesions (C, D). Autofluorescence was normal (E, F).
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F4