PMC5422741_01
a Monochromatic green fundus photograph of the right eye showing optic disk pallor, peripapillary atrophy, arteriolar narrowing, and typical bone spicules involving the mid-peripheral retina. b Fundus autofluorescence photograph of the right eye. Note the extent of the atrophy in the mid-periphery. c Spectral domain optical coherence tomography revealing a cystic macular edema associated with a disruption of the Bruch membrane/retinal pigment epithelium complex overlying a pigmentary epithelium detachment, with a vascular structure emanating from the deep capillary plexus, apparently connected with the subretinal pigment epithelium space. Also note the presence of an epiretinal membrane. d-f Optical coherence tomography angiography images (3 x 3 mm) and corresponding B-scans. d Optical coherence tomography angiography deep capillary plexus segmentation showing a high-flow vessel infiltrating the outer retinal layers (arrow). e Outer retinal layer segmentation showing a tuft-shaped high-flow lesion, characterized by a retinal-retinal anastomosis. f Choriocapillaris segmentation revealing the tuft-shaped lesion.
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F1
OCTA showed a high-flow vessel infiltrating the outer retinal layers in the deep capillary plexus segmentation and a tuft-shaped, bright, high-flow network characterized by a retinal-retinal anastomosis in the outer retinal layer segmentation (Fig. 1).