PMC8077491_01
Anterior-segment findings at the initial ophthalmic evaluation. A slit-lamp examination shows marked chemosis in the right (a) and left (b) eyes. AS-OCT clearly shows conjunctival elevation and ciliochoroidal detachments (blue arrows) in all scan directions in the right (c, e, g, i) and left (d, f, h, j) eyes. In some scans, dilated lymphatic channels (arrowheads) and fluid space (asterisks) are seen clearly in the thickened conjunctiva. The red arrows in insets indicate the direction of the AS-OCT scans. The panels shown are scans at nasal (c, f), temporal (d, e), superior (g, h), and inferior (i, j) part of the bulbar conjunctiva. AS-OCT, anterior-segment optical coherence tomography.
cop-0012-0154-g01.jpg
PMC8077491_01_cop-0012-0154-g01.jpg
F1
Slit-lamp examination showed marked chemosis OU (Fig. 1a, b). AS-OCT (CASIA 2, Tomey Corporation, Nagoya, Japan) clearly showed conjunctival elevations corresponding to chemosis in all scan directions OU (Fig. 1c-j).
Fundus findings at the initial ophthalmic evaluation. The color fundus photographs show no signs of retinopathy such as retinal hemorrhages and cotton-wool spots in the right (a) and left (b) eyes. Macular optical coherence tomography scans show retinal edema temporal to the optic nerve head (white arrows) and serous retinal detachments at the fovea (red arrows) in the right (c) and left (d) eyes. Fluorescein angiography shows areas of hyperfluorescence corresponding to the retinal edema at the temporal edge of the optic nerve head (white arrows) in the right (e) and left (f) eyes. Indocyanine green angiography shows areas of hyperfluorescence corresponding to the serous retinal detachments in the foveal region (red arrows) in the right (g) and left (h) eyes.
cop-0012-0154-g02.jpg
PMC8077491_01_cop-0012-0154-g02.jpg
F2
Color fundus photographs did not show signs of retinopathy, such as retinal hemorrhages or cotton-wool spots, OU (Fig. 2a, b). Macular OCT scans (RS3000 Advance 2, Nidek, Gamagori, Japan) showed retinal edema temporal to the optic nerve head (white arrows) and serous retinal detachments at the fovea (red arrows) OU (Fig. 2c, d). Fluorescein angiography (Heidelberg retina angiograph 2, Heidelberg Engineering, Dossenheim, Germany) showed areas of hyperfluorescence corresponding to the retinal edema at the temporal edge of the optic nerve head (white arrows) OU (Fig. 2e, f). Indocyanine green angiography (Heidelberg retina angiograph 2) showed areas of hyperfluorescence corresponding to serous retinal detachments in the foveal region (red arrows) OU (Fig. 2g, h).