PMC3350172_01
Evolution of choroidal lesion, left eye, over the course of one year.
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fig1
This lesion enlarged over the following 12 months to approximately 5 x 5 mm with 1 mm elevation and a significant amount of lipofuscin (Figure 1).
The right fundus is unremarkable. Left eye, six months after radioactive iodine treatment: fine, patchy, pigmentary changes throughout the posterior pole with an unchanged appearance of the original pigmented lesion. Fluorescein angiography shows blocking of the original lesion and fine hyperfluorescence corresponding to the areas with pigmentary change on fundus photos.
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fig2
Fluorescein angiography showed blocking of the original lesion as well as diffuse, stippled hyperfluorescence in the areas of pigment alteration (Figure 2). Fluorescein angiography showed circular areas of transmission defects as well as fine staining within these regions (Figure 2).
Color fundus photos of both eyes show nummular plaque-like patches at the level of the retinal pigment epithelium. Fluorescein angiography shows round areas of transmission defects as well as fine staining within these regions. OCT of the left eye shows intraretinal cysts, subretinal fluid, as well as disruption of the retinal pigment epithelium.
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fig3
The right eye developed similar findings of nummular plaque-like patches on the level of the RPE (Figure 3).