PMC6388527_01
(a) Fundus photo of the LE of case 1, showing the optic nerve head granuloma and serous retinal detachment. (b) Ultrasonography of the LE of case 1, showing significantly raised lesion over the optic disc. (c) FFA of the LE of case 1, showing severe leakage of dye at the optic disc along with microaneurysms. (d) Fundus photo of the LE of case 1, at 3 months of follow-up, showing resolution of the granuloma and the retinal edema.
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F1
Case 1 showed a drastic response in ONH swelling and his vision recovered to 6/24 at 3 weeks, 6/12 at 9 weeks, and 6/6 at 12 weeks after start of treatment [Figure 1d].
PMC6388527_02
(a) Fundus photo of the LE of case 1, showing the optic nerve head granuloma and serous retinal detachment. (b) Ultrasonography of the LE of case 1, showing significantly raised lesion over the optic disc. (c) FFA of the LE of case 1, showing severe leakage of dye at the optic disc along with microaneurysms. (d) Fundus photo of the LE of case 1, at 3 months of follow-up, showing resolution of the granuloma and the retinal edema.
JOVR-14-105-g001.jpg
PMC6388527_02_JOVR-14-105-g001.jpg
F1
Case 1 showed a drastic response in ONH swelling and his vision recovered to 6/24 at 3 weeks, 6/12 at 9 weeks, and 6/6 at 12 weeks after start of treatment [Figure 1d].
(a) Fundus photo montage of RE of case 2, depicting granuloma at the superior margin of the optic disc, serous retinal detachment of the macula, and retinal phlebitis with "candle wax drippings" seen superiorly. (b) Fundus photo montage of the RE of case 2, at 3 months of follow-up. Granuloma has resolved and cuffing has been replaced with sheathing. Hard exudates can be seen in the macula after resolution of the subretinal fluid.
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F2
Loss of foveal reflex, macular edema, and serous macular detachment were also found in the RE [Figure 2a]. In the second case, visual acuity recovered to 6/9 in right eye at day 4 after the start of the treatment and disc edema and vasculitis resolved gradually [Figure 2b].
Optical coherence tomographic images of the 2 cases during treatment. Subretinal fluid can be seen (stars) along with a raised lesion at the optic disc (arrows), suggesting granuloma, in both cases.
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F3
OCT imaging was performed during follow-up in both cases to document macular changes [Figure 3].