PMC9719969_01
Brain MRI showed multiple bilateral subcortical white matter lesions.
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F1
(A) Fundus photography showed the macular serous retinal detachment in the right eye. (B) SD-OCT shows the accumulation of subretinal fluid in the subfoveal region of the right eye. (C) The FA image showed spots of hyperfluorescence with a smokestack pattern in the late stage. (D) ICGA showed multiple spots of hypercianescence in the macular region.
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F2
Fluorescein angiography (FA) and indocyanine green angiography (ICGA) were performed and spots of macular leakage were observed (see Figure 2).
(A) SD-OCT performed 2 weeks after subthreshold micropulse yellow laser therapy showed a reduction of the subretinal fluid with the presence of a flat irregular pigmented epithelial detachment and granular subfoveal material. (B) SD-OCT showed a complete resolution of the subretinal fluid at 1 month. (C) OCT-A showed no signs of choroidal neovascularization after 1 month from treatment.
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F3
Optical coherence tomography angiography (OCT-A) (AngioVue Imaging System; Optovue, Inc., USA) was performed and no signs of neovascularization were observed in the choriocapillaris layer (see Figure 3).
Timeline of the main events that occurred to the patient. OD, oculus dexter; nm, nanometer; SRF, sub-retinal fluid.
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F4
The brief timeline of our case is described in Figure 4.