PMC6734496_01
a,b) The slit lamp photos at presentation show the chemosis, conjunctival congestion and shallow anterior chamber with clear cornea. c) The ultrasonogram shows a thick ocular coat with subtenon fluid (<). d) The ultrasound biomicroscopy reveals supraciliary effusion (^) and anterior rotation of the ciliary body. e,f) Fundus photo and fluorescein angiogram show the choroidal folds (*).
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F1
Slit lamp examination of RE revealed conjunctival chemosis, circumcorneal congestion, shallow AC, and no AC cells (Figure 1a,b (Fig. 1)). However, additional findings included swelling of the upper eyelid, scleral tenderness, clear cornea, reactive round pupil, fine choroidal folds (Figure 1e (Fig. 1)), shallow peripheral annular choroidal detachment, and limitation of ocular movement with pain in RE. ACG was also kept as a differential diagnosis. An ultrasonogram (USG) B-scan of RE showed fluid accumulation in the subtenon space with thickening of the ocular coats (Figure 1c (Fig. 1)). Ultrasound biomicroscopy (UBM) revealed thickening of the sclera and supraciliary effusion along with some anterior rotation of the ciliary body (Figure 1d (Fig. 1)). Fundus fluorescein angiography made the choroidal folds obvious (Figure 1f (Fig. 1)).
a) The color fundus photo shows resolved choroidal folds 1 month after presentation. b) The anterior chamber had deepened and the eye was quiet at 8-month follow-up.
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F2
At 1 month, her best-corrected visual acuity was 6/6 in either eye, the eyes were quiet, and the choroidal folds in the right eye had disappeared (Figure 2a (Fig. 2)). The eye remained stable till the last follow-up at 8 months, and the anterior chamber remained deep (Figure 2b (Fig. 2)).