PMC3832461_01
Clinical findings at presentation.. Notes: (A) A color photograph of the fundus of the left eye shows diffuse retinal whitening. (B) Goldmann kinetic perimetry of the left eye shows paracentral scotomas. (C and D) Optical coherence tomography of the left eye shows edema in the inner retinal layers.
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Fundus examination revealed no distinct abnormalities in the right eye; however, it revealed multiple white lesions surrounding the optic disk of the left eye, without retinal neovascularization (Figure 1A). Goldmann perimetry demonstrated paracentral scotomas in the left eye (Figure 1B). Optical coherence tomography demonstrated retinal edema, particularly in the inner retina of the left eye (Figure 1C and D).
Clinical findings at 1 month after presentation (2 months after the head injury).. Notes: Fluorescein angiography of the left eye shows a mild leak from the peripheral vessels and from the nonperfusion areas in the peripheral retina; however, there is no retinal neovascularization. A delay in choroidal filling and arm-to-retina time was found.
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In addition, fluorescein angiography demonstrated a delay of 33 seconds in the arm-to-retina circulation time, with a mild leak observed from the peripheral vessels as well as from nonperfused areas in the peripheral retina; however, there was no retinal neovascularization (Figure 2).
Clinical findings at 4 months after the initial examination (5 months after the head injury).. Notes: (A) A color photograph of the fundus of the left eye shows the regression of retinal white lesions. (B) Goldmann perimetry of the left eye shows the regression of the paracentral scotomas. (C and D) Optical coherence tomography of the left eye shows atrophy of the inner retinal layers.
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The angle neovascularization and white lesions gradually regressed (Figure 3A). The visual field defect partially recovered (Figure 3B). Optical coherence tomography showed retinal thinning in the inner layers (Figure 3C and D).