PMC5015792_01
A) Colour photograph of the left eye shows a large yellow macular placoid lesion with a curvilinear edge. B) Colour photograph of the left eye, three days after the initial presentation, the placoid lesion had extended. C) Colour photograph of the left eye, one week after the initial presentation, placoid lesion had increased outside the temporal retinal vascular arcades and there are new multiple yellow lesions and hemorrhages in the retinal superior nasal area. D) Colour photograph of the left eye three weeks after presentation and before treatment shows the lesion's complete resolution.
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F1
Dilated fundoscopy of the LE revealed a few vitreous cells and a large yellow macular placoid lesion with a curvilinear edge (Figure 1A (Fig. 1)). Three days after the placoid lesion had extended (Figure 1B (Fig. 1)). One week after the initial presentation, VA remained stable but the placoid lesion had increased outside the temporal retinal vascular arcades (Figure 1C (Fig. 1)). The patient abandoned the clinic for two weeks and when observed again, VA had improved to 20/20 in the LE and the lesions showed complete spontaneous resolution (Figure 1D (Fig. 1)).
A) The early phase FA - corresponding to Figure 1A - shows hypofluorescence in the affected area. B) Late-phase FA shows progressive staining in the area of the lesion.
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F2
Fluorescein angiography (FA) showed early hypofluorescence with late staining in the affected area (Figure 2 (Fig. 2)).
The ICGA - corresponding to Figure 1C - shows persistent leakage of the choriocapillaris and hypofluorescence areas in the early (A) and late phases (B, C).
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F3
Optical coherence tomography (OCT) in the LE demonstrated subretinal fluid overlying the macular lesion (Figure 3 (Fig. 3)).
A) OCT of the left eye at presentation reveals subretinal fluid overlying the macular lesion. B) OCT image three weeks after presentation and before treatment demonstrates complete anatomical resolution.
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F4
Indocyanine green angiography (ICGA) revealed persistent leakage of the choriocapillaris and hypofluorescence areas in the early and late phases (Figure 4 (Fig. 4)).