PMC10203333_01
(A) Port wine stains affecting the skin of the forehead, upper and lower eyelids on the left side together with dilated episcleral vessels; (B) Showed the thickened choroid by the diffuse angioma (green arrow)
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F1
The skin showed capillary angiomas in the distribution of the ophthalmic division of the trigeminal nerve with dilated episcleral vessels on the surface of the LT eye (Fig. 1A) and gonioscopy revealed reddish coloration of the trabecular meshwork. B-scan ocular ultrasonography showed diffuse choroidal thickening in all quadrants (Fig. 1B).
Color fundus photography. RT fundus is normal. LT eye shows diffuse red color of the fundus, thinning of the neuro-retinal rim and obvious RNFL defects (yellow arrow)
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F2
The visual field and peripapillary GCC of the LT eye
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F3
At this point, a topical alpha-agonist is added and the patient is awaiting further evaluations and a possible laser redo (Fig. 3).