PMC3806670_01
a Case 1, OD, color fundus picture. Extensive macular exudation with a slight epiretinal membrane. b Composite fluorescein angiographic appearance showing wide areas of peripheral nonperfusion and dilated vessels with lightbulb hyperfluorescence.
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F1
While the left fundus was normal, there was considerable exudation involving the posterior pole, almost forming a macular plug and a slight epiretinal membrane in OD (fig. 1a). Fluorescein angiography demonstrated wide areas of peripheral nonperfusion and dilated vessels of the lightbulb hyperfluorescence type (fig. 1b).
a Case 1, OD, color RetCam 2 picture taken immediately after Ozurdex injection. b Composite color fundus picture depicting macular fibrosis and scattered laser photocoagulation scars.
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F2
Upon acceptance of the patient's family, an intravitreal Ozurdex injection was carried out under general anesthesia without any complication (fig. 2a). One year after the Ozurdex injection, visual acuity was counting fingers at 2 m due to fibrotic macular scarring, and intraocular pressure was normal (fig. 2b).
PMC3806670_02
a Case 2, OS, color fundus picture, macular exudation. b Temporal retina, fluorescein angiographic appearance showing peripheric retinal nonperfusion and capillary dilatations. c OCT showing serous detachment.
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F3
While the right fundus was normal, there was a hard exudate plaque at the left macula associated with extensive peripheral retinal telangiectasia (fig. 3a). Fluorescein angiography showed wide areas of peripheral retinal nonperfusion and classic lightbulb type hyperfluorescent vascular dilatations (fig. 3b). Optical coherence tomography (OCT) exhibited serous macular detachment (fig. 3c).
a Case 2, OS, color fundus image taken after Ozurdex injection. b Composite color fundus picture demonstrating the relatively regressed macular hard exudates 6 months after indirect laser photocoagulation and Ozurdex injection. c OCT showing the resolution of the initial serous detachment with slight residual macular fibrosis.
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F4
Under general anesthesia, indirect laser photocoagulation was performed in nonperfused areas and capillary dilations, and an intravitreal Ozurdex injection was given (fig. 4a). At 6 months after injection, visual acuity was 3/10 in OS and macular exudates were gradually resolving with no serous macular detachment (fig. 4b and c).