PMC8651021_01
Color fundus photograph of the (a) right and (b) left eye illustrating the hazy view of the posterior poles. Please note that both optic discs were slightly obscured due to vitritis, though it was more marked in the left eye. (c-d) Infrared images depicting the vitritis-related blocking effect, which was also more prominent in the left eye. (e-f) Late venous fluorescein angiographic images of both eyes demonstrating no leakage or any sign of vasculitis. The masking effect of the vitritis was more significant in the left eye. (g-h) Spectral domain optical coherence tomography images showing that the macular anatomy was well-preserved and that the inflammatory vitreous cells were visualized as hyper-reflective dots.
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F1
Despite the mildly hazy view, indirect ophthalmoscopy yielded no change in the posterior segments (Fig. 1 a-h). A fluorescein angiogram revealed no abnormality (Fig. 1 e, f). Optical coherence tomography images displayed normal foveal architecture with a few hyper-reflective dots in the posterior vitreous of both eyes corresponding to the vitreous cells (Fig. 1 g, h).
(a) A positron emission tomography scan demonstrating increased uptake of 2-(fluorine-18)-fluoro-2-deoxy-D-glucose in the area of the mediastinal lymph nodes (arrow) and (b) the tumor.
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F2
The PET-CT images revealed an increased uptake of 2-(fluorine-18)-fluoro-2-deoxy-D-glucose in area of the hilar and mediastinal lymph nodes (Fig. 2).
Infrared images of the (a) right and (b) left eye demonstrating improved fundus appearance. Spectral domain optical coherence tomography images of the (c) right eye and the (d) left eye illustrating that the vitritis responded well to the treatment and the lack of hyper-reflective cells.
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F3
After 2 weeks of oral steroid therapy, a subsequent examination yielded a visual acuity of 20/20 and very little lingering bilateral haze (Fig. 3).