PMC7705276_01
Right eye fundus photograph shows large cotton-wool spots in a peripapillary distribution as well as a heterogeneous pattern of grey translucency with periarterial sparing in the macula.
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Neither segmental narrowing of the retinal arteries nor a defined cherry-red spot were visible, but a darker hue to the retinal veins was apparent (Figure 1).
A horizontal spectral domain optical coherence tomography scan of the right eye was taken at foveal center, revealing an increase of the inner layer reflectivity and generalized inner retinal thickening.
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A horizontal foveal spectral-domain optical coherence tomography (SD-OCT) scan revealed a generalized retinal thickening, with a significant increase in reflectivity signaling edema localized to the inner layers (Figure 2).
Right eye widefield fluorescein angiography shows delayed choroidal filling, taken 43 seconds after administering the dye.
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Fluorescein angiography was performed, showing normal choroidal filling including a patent cilioretinal artery, and an important delay of the retinal circulation (Figure 3); slight leakage and staining of the optic disc and peripapillary arterioles were also noted in later phases with some dye masking corresponding with the location of the CWS (Figure 4).
Right eye widefield fluorescein angiography shows peripheral pigmentary degeneration, discrete leakage and staining of the optic disc and peripapillary arterioles, taken 70 seconds after dye administration.
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Fluorescein angiography was performed, showing normal choroidal filling including a patent cilioretinal artery, and an important delay of the retinal circulation (Figure 3); slight leakage and staining of the optic disc and peripapillary arterioles were also noted in later phases with some dye masking corresponding with the location of the CWS (Figure 4).
Right eye fundus photograph 4 weeks after initial presentation shows normal retinal characteristics.
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The latest fundus findings showed normal retinal characteristics and resolution of the APD (Figure 5).