PMC3042017_01
Fundus image of the RE showing a typical placoid macular lesion of ASPPC (a). Late-staining hyperfluorescence seen on angiography (b). Normal fundus of the RE, 2 weeks after presentation (c). Normal angiography after completion of treatment (d).
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F1
Fundoscopic examination revealed a yellow-white, subretinal, placoid lesion in the macula of the RE (fig. 1), but there was no vitritis, papillitis, retinal hemorrhages or cotton wool spots. Fluorescein angiography revealed a lesion of 4-5 disk diameters in size, with well-defined borders and late-staining hyperfluorescence (fig. 1).
SD-OCT of the right macula (a) showing absence of the inner/outer photoreceptor segment junction layer as well as an absent external limiting membrane. Choroidal detail reveals irregular, diffuse infiltration of the choroidal vasculature (b). SD-OCT of the left macula showing normal retinal stratification and well-defined, numerous choroidal vascular spaces.
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F2
The obtained image was averaged from 100 scans and revealed diffuse choroidal infiltration with reduction of the diameter and number of the usual vascular spaces when compared to the LE, as well as an ill-defined photoreceptor inner/outer segment junction and absent external limiting membrane (fig. 2).
SD-OCT image comparison before (a) and after treatment completion (b). The inner/outer segment junction is now visible in the full extent of the scan. Choroidal detail reveals slightly improved vascular definition, better noticed in the area temporal to the fovea.
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F3
Follow-up SD-OCT showed a slight improvement of the choroidal pattern as well as a completely restored stratification of the outer retinal layers (fig. 3).