PMC7265052_01
Wide field fluorescein angiography of the right eye reveals retinal vascular leakage inferonasal to the optic nerve (arrow) corresponding to the infiltrative retinal lesion on fundus photographs (A). Wide field fundus photograph of the right eye shows vitritis and multiple creamy lesions in the nasal macula and inferonasal to the optic nerve on presentation (B), and subsequent resolution of retinal lesions with residual scarring, atrophy, and hypopigmentation at 8 months follow up (C).
gr1.jpg
PMC7265052_01_gr1.jpg
fig0001
Funduscopic examination of the right eye revealed vitreous haze, blurred disc margins, diffuse vascular sheathing in the posterior pole, and multiple creamy lesions in the nasal macula and inferonasal to the optic nerve (Figure 1B). Wide field fluorescein angiography (FA) revealed leakage in nasal macula and inferonasal to the disc on late frames (Figure 1A). Bio-microscopy was notable for resolution of vitritis, decrease in the size of the retinal lesions with resultant focal retinal atrophy and scarring on the right (Figure 1C and 2C).
Optical coherence tomography (OCT) images of the right eye at initial presentation show a transition zone (arrow) from a normal retina nasally to a full thickness retinal infiltration by a hyperreflective material temporally (A); multiple retinal pigment epithelium detachments (PEDs) in the inferior macula (star) (B); and resolution of PEDs with resultant retinal atrophy at a two year follow up (C).
gr2.jpg
PMC7265052_01_gr2.jpg
fig0002
Optical coherence tomography (OCT) images of the right eye showed full thickness retinal infiltration by a hyperreflective material corresponding to the inferonasal lesion on fundus photographs (Figure 2A) with a sharp demarcation between normal and abnormal retina at the edge of the lesion. OCT images of the macula showed multiple retinal pigment epithelial detachments (PEDs) (Figure 2B). Bio-microscopy was notable for resolution of vitritis, decrease in the size of the retinal lesions with resultant focal retinal atrophy and scarring on the right (Figure 1C and 2C).