PMC6214347_01
Massive subretinal hemorrhage and vitreous hemorrhage due to PCV in the left eye.. Notes: (A) Fundus photograph of the left eye at first visit showing subretinal hemorrhage in the posterior pole extending to the lower arcade and an orange-red lesion. (B) Optical coherence tomography of the left eye showing subretinal hemorrhage and sub-RPE hemorrhage due to PCV. (C) Optos  image of fluorescein angiography showing hyperfluorescent area corresponding to the orange-red lesion of PCV and surrounding blocked fluorescence due to sub-RPE hemorrhage. (D) HRA2  image of indocyanine green angiography showing focal hyperfluorescence in the area of polypoidal lesion. (E) Optos image of the left eye 16 months after the first vitrectomy showing bullous hemorrhagic RPE detachment and marginal subretinal hemorrhage. Massive vitreous hemorrhage occurred about a week after the image was obtained.. Abbreviations: PCV, polypoidal choroidal vasculopathy; RPE, retinal pigment epithelial.
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In the left eye, massive submacular hemorrhage, sub-retinal pigment epithelial (RPE) hemorrhage, and an orange-red lesion characteristic to PCV were observed (Figure 1A, B). Fluorescein angiographic image obtained using Optos  California (Optos, Dunfermline, Scotland, UK) manifested hyperfluorescent area corresponding to the orange-red lesion and surrounding blocked fluorescence due to sub-RPE hemorrhage (Figure 1C). Also, indocyanine green angiographic image obtained using Heidelberg Retina Angiography 2 (HRA2 ; Heidelberg Engineering GmbH, Heidelberg, Germany) showed focal hyperfluorescence in the area of polypoidal lesion (Figure 1D). In November 2016, bullous hemorrhagic RPE detachment and marginal subretinal hemorrhage recurred (Figure 1E), accompanied by vitreous hemorrhage.
Serous retinal detachments due to sympathetic ophthalmia in the right eye.. Notes: (A) Fundus photograph of the right eye showing serous retinal detachments in the posterior pole. (B) OCT of the right eye showing serous retinal detachment. An arrow indicates subretinal septum, which is the characteristic of sympathetic ophthalmia. (C) Late-phase fluorescein angiography shows a broad area of hyperfluorescence in the posterior pole and optic disc. (D) OCT of the right eye after a cycle of pulse steroid therapy and oral prednisolone administration showing disappearance of serous retinal detachment.. Abbreviation: OCT, optical coherence tomography.
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Fundus examination revealed multiple serous retinal detachments with a subretinal septum (Figure 2A, B). Fluorescein angiography revealed a broad area of hyperfluorescence in the posterior pole and optic disc during the late phase (Figure 2C). In May 2017, disappearance of serous retinal detachments was confirmed by optical coherence tomography (Figure 2D).