PMC5301087_01
Both eyes demonstrate a shallow anterior chamber with elements of posterior synechiae and keratic precipitates more obvious in the left eye.
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F1
Slit-lamp examination of the anterior segments showed granulomatous keratic precipitates with significant shallowing of the anterior chambers, mild anterior chamber cell activity, and few areas of posterior synechiae (Fig. 1).
Wide-field fundus imaging. Top: right eye (RE), bottom: left eye (LE). From right to left: wide-field color fundus photos and wide-field infrared (IR) fundus photos. Both modalities demonstrate choroidal elevation in both eyes. Fundus fluorescein angiography (FFA) shows late pooling of fluorescein peripherally.
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F2
Dilated fundus examination showed extensive annular CD and ERD with no signs of clinical vasculitis or retinitis (Fig. 2). Fundus fluorescein angiography showed pooling of fluorescein in late frame in the subretinal space (Fig. 2).
B-ultrasonography of both right (RE) and left eye (LE) shows choroidal detachment in four quadrants.
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F3
Optic coherence tomography scans showed bilateral extensive subretinal fluid at the left macula and less so at the right (Fig. 3). Autofluorescence images highlighted bilateral macular retinal pigment epithelium changes, more prominent in the left eye with obvious damage to photoreceptor/retinal pigment epithelium complex (Fig. 3), which could explain the limited visual recovery.
Optical coherence tomography (OCT) scans of both right (RE) and left eye (LE). Both images on the right are of day 2. OCT shows subretinal fluid is more prominent in the LE. Images on the left are of 1 week post intravenous steroids with completed resolution of subretinal fluid but changes in the retinal pigment epithelium/photoreceptor complex.
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F4
B-scan ultrasonography confirmed extensive choroidal detachments in 4 quadrants with no associated scleral thickening or masses affecting the choroid or sclera (Fig. 4).
Late indocyanine green chorioangiography of right (RE) and left (LE) eyes demonstrating multiple areas of choroidal hypoperfusion.
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F5
Indocyanine green chorioangiography showed multiple areas of choroidal hypoperfusion (Fig. 5).