PMC6413394_01
Color fundus photograph of the right eye shows vitreous haze, vascular sheathing, and granular retinal whitening in the inferotemporal periphery (inset).
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Dilated funduscopic examination revealed vitreous haze, diffuse vascular sheathing, and a poorly-defined area of inferotemporal retinal whitening without associated hemorrhage (Figure 1).
Spectral-domain OCT of the right eye demonstrates vitreous debris overlying a well-preserved foveal contour.
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Spectral-domain optical coherence tomography of the right eye showed no significant abnormalities aside from overlying hyperreflective vitreous debris (Figure 2).
Fluorescein angiography of the right eye reveals irregular filling defects and blockage from overlying vitreous debris; of note, the inferotemporal area of retinal whitening is not captured in this image.
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Fluorescein angiography demonstrated irregular vascular filling and blockage from vitreous debris (Figure 3).
Intraoperative image of fundus reveals diffuse vascular sheathing with perivascular inflammatory aggregates and an area of granular retinal necrosis and whitening (arrows) involving the inferotemporal periphery.
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Intraoperatively, extensive retinal whitening and granular necrosis were observed along with diffuse vascular sheathing and perivascular inflammatory aggregates (Figure 4).
Fundus photograph from postoperative week 1 demonstrates improving vasculitis and retinitis.
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At the postoperative week 1 visit, visual acuity had not improved, but the area of retinitis appeared less active (Figure 5).
Fundus photograph more than one year following initial presentation shows resolution of retinitis with laser scars in the periphery.
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Following cataract extraction one year later, his visual acuity was 20/25 with stable fundus findings (Figure 6).