PMC5745970_01
Color fundus picture depicting the whitish appearance of superficial retina with some occluded distal arterioles and some retinal hemorrhages (a: right eye; b: left eye). Venous phase of fluorescein angiogram demonstrating the distal, almost totally occluded arterioles and related capillary hypoperfusion (c: right eye; d: left eye). Optical coherence tomograhy disclosing superficial hyperreflective dots to ganglion layer infarct and severe macular edema (e: right eye; f: left eye).
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F1
Dilated fundus exam disclosed preretinal hemorrhages, scattered cotton-wool spots and widespread yellowish discoloring of the retina (Figure 1a,b (Fig. 1)). OU (Figure 1c,d (Fig. 1)). Optical coherence tomography exhibited severe serous macular retinal detachment in both eyes (Figure 1e,f (Fig. 1)).
Color fundus picture depicting the slightly increased retinal hemorrhages and continuing retinal whitining (a: right eye; b: left eye). No OCT change is present in the right (c) and left eye (d).
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F2
As the visual acuity deteriorated despite the pulse therapy (Figure 2 (Fig. 2)), bilateral simultaneous intravitreal 2 mg aflibecept injection was given after reviewing the therapeutic options with the patient and the family.