PMC9869642_01
(A, D) Color fundus photography: Bilateral peripapillary retinal swelling and macular hemorrhage in the RE. (B, E) Retinal nerve fiber layer OCT: Bilateral peripapillary retinal swelling. (C, F) Enhanced depth imaging OCT: increased choroidal thickness in both eyes.
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Also, an intraretinal macular hemorrhage in the RE was seen (Figure 1A,D). Peripapillary retinal swelling was documented in retinal nerve fiber layer optical coherence tomography (RNFL OCT) (Figure 1B,E). Increased choroidal thickness was noted in enhanced depth imaging OCT (EDI-OCT), especially in the LE (Figure 1C,F).
Fluorescein angiography: No evidence of areas of ischemia or peripheral vasculitis.
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In fluorescein angiography, no sign of ischemia or peripheral vasculitis was detected (Figure 2).
Indocyanine green angiography Of the RE (A-E) and the LE (F-K): multiple wedge-shaped hypocyanescent areas indicative of choroidal ischemia.
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Indocyanine green angiography (ICG) confirmed severe choroidal ischemia (Figure 3).
Color fundus photography: Resolved optic disk swelling in follow-up examination
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In follow-up examination, there was no improvement in visual acuity, IOP was controlled with topical medication, and optic disk swelling was resolved (Figure 4).