PMC10080459_01
Optical coherence tomography (OCT) of the right eye during follow-up. a Post-operative day (POD) 6 demonstrated transvitreal fibrin. b POD 8 demonstrated resolution of the transvitreal fibrin bands and reduction of the subretinal fluid. Additionally, persistence of the subretinal fibrin was also seen. c POD 14 demonstrated resolution of the subretinal fluid and fibrin with some remnant subretinal fibrin. d POD 40 days revealed complete resolution of subretinal fibrin and fluid.
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F1
Fig. 1, 2a). From the ultrawide-field OCT image, transvitreal fibrin was noted to have a fish-net-like mixed with knots configuration (shown in Fig. 2a). OCT (see Fig. 2b). OCT of the right eye also showed significant reduction of the subretinal fluid but with persistent subretinal fibrin (shown in Fig. 1b). On OCT, complete resolution of the subretinal fluid and reduced subretinal fibrin were noted (shown in Fig. 1c). On POD 43, there was complete resolution of the subretinal fibrin (shown in Fig. 1d).
Ultrawide-field optical coherence tomography (OCT) of the right eye on POD 6 (a) showing subretinal fluid with transvitreal fibrin strandings as well as retinal pigment epithelial detachment and POD 8 (b) showing reduction of the intraretinal fluid and retinal pigment epithelial detachment and significant resolution of the transvitreal fibrin strandings.
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F2
Fig. 1, 2a). From the ultrawide-field OCT image, transvitreal fibrin was noted to have a fish-net-like mixed with knots configuration (shown in Fig. 2a). OCT (see Fig. 2b). OCT of the right eye also showed significant reduction of the subretinal fluid but with persistent subretinal fibrin (shown in Fig. 1b).
Color fundus image of the right eye on POD 15 demonstrated clear fundus with easily seen retinal vasculature and optic disc. No vitreous opacity caused by fibrinoid syndrome was otherwise seen.
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F3
At POD 15, color fundus photography (see Fig. 3) and OCT was obtained.
Clinical timeline: a 57-year-old male who was diagnosed with fibrinoid syndrome. BCVA, best-corrected visual acuity; OCT, optical coherence tomography; TA, triamcinolone acetonide; TPA, tissue plasminogen activator.
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F4
Overall clinical course was summarized in Figure 4.