PMC9941022_01
Fundus photographs. A: Pigmentary changes in the fovea (black arrow), B: Pigmentary changes on the macula temporally
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FIG1
The hyperpigmentation in the left eye presented a more diffuse appearance with a lacy pattern (Figure 1 A). Of note, the scarring and pigmentary clumping extended beyond the arcades in a reticular and lacy fashion in the left eye (Figure 1 B).
Optical coherence tomography. A: Full-thickness scarring (black arrow), B: Internal limiting membrane (ILM) draping and cavitations (black arrow)
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FIG2
Optical coherence tomography revealed full-thickness scarring mostly of the outer retina in the right eye while presenting internal limiting membrane (ILM) draping and cavitations (Figure 2).
Fundus autofluorescence. A: Hypo-autofluorescence within the macular and nasal to the optic nerve (white arrow), B: Hypo-autofluorescence spanning the full length of the macula
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FIG3
The right eye presented similar features from the nasal to the optic disc as well (Figure 3).
Fluorescein angiography. A, B: Early hyperfluorescence from a lesion in the fovea (white arrow); C, D: Leakage in latter frames from lesions and cysts in the macula (white arrow)
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FIG4
Fluorescein angiography revealed early staining and late leakage beyond the area of foveal scarring in the right eye (Figure 4). There was leakage also present from a smaller lesion inferiorly on the macula in the left eye (Figure 4 D).