PMC4899654_01
a Right-eye fundus at the initial examination, showing an exudative retinal detachment. b SD-OCT scans of the right eye during the initial examination. SD-OCT scan displaying an exudative retinal detachment containing some hyperreflective membranous structures (star).
cop-0007-0090-g01.jpg
PMC4899654_01_cop-0007-0090-g01.jpg
F1
Fundus examination showed an exudative retinal detachment of the posterior pole in the right eye, without uveitis or papillary edema (fig. 1a). Spectral-domain optical coherence tomography (SD-OCT) confirmed the exudative retinal detachment with intraretinal cysts in the right eye (fig. 1b) and choroidal atrophy in the left eye.
Indocyanine green angiography showing irregular perfusion of the choroid.
cop-0007-0090-g02.jpg
PMC4899654_01_cop-0007-0090-g02.jpg
F2
Fluorescein and indocyanine angiography found a delayed choroidal perfusion (fig. 2).
a Right-eye fundus 2 days after plasmapheresis exchange, showing the disappearance of retinal detachment. b SD-OCT scans of the right eye 2 days after plasmapheresis exchange confirm the total disappearance of retinal detachment. c Ischemia sequel (b) with pigment epithelium swelling (star) on the SD-OCT scans after plasmapheresis.
cop-0007-0090-g03.jpg
PMC4899654_01_cop-0007-0090-g03.jpg
F3
Fundus and SD-OCT found a total disappearance of the exudative retinal detachment (fig. 3a, b). However, ischemia sequels were present with pigmented retinal epithelium swelling (fig. 3c).