PMC3764964_01
a Color photo of the patient's right eye showing a small area of ischemic macular edema (whitening) inferotemporally to the fovea. b, c Color photos of her left eye. Note an inferotemporal branch retinal artery occlusion and multiple foci of retinitis in the posterior pole.
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F1
Fundoscopy revealed an occlusion of the inferior temporal branch of the left retinal artery (fig. 1) and multiple foci of retinitis in the posterior pole of both eyes, more prominently in the left.
a Fluorescein angiography of the patient's right eye showing localized vasculitis inferotemporally to the foveal and ischemic edema. b-d Fluorescein angiography of the left eye at 1, 3.50 and 10.50 min confirming an inferotemporal branch retinal artery occlusion, vasculitis and some foci of retinitis. Also note that there is leakage in the inferonasal part of the optic disc.
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F2
Fluorescein angiography was subsequently performed, which confirmed the diagnosis of arterial occlusion and the presence of vasculitis (fig. 2).
a Color photo of the patient's left eye 2 weeks after initiation of treatment showing improvement of the retinal edema and the ischemic areas. b Color photo of the right eye showing complete resolution of the vasculitis and ischemic macular edema 2 months after initiation of treatment. c Both the arterial occlusion and retinitis resolving in the left eye 2 months after initiation of treatment. d Four months after presentation there are still some hard exudates in the left macular region, without forming a typical macular star.
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F3
By that time, some hard exudates had started to appear in the left macular region, without forming the typical ring of a macular star (fig. 3).