PMC6531768_01
Bilateral retinal detachments affecting the posterior pole; at the time of presentation, right eye (A), left eye (B)
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F1
While the anterior segment examination was normal, fundus examination showed bilateral retinal detachments affecting the posterior pole (Fig. 1).
OCT of right eye. Cystic fluid accumulation is seen between the separating septae throughout the ONL (red arrow). Some small cysts are also present in INL, IPL and RNFL (blue arrow). A very shallow elevation of interdigitation zone in both side of foveal center is also apparent (shallow SRF, yellow arrows)
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F2
MRI; hyperintense vasogenic edema in the white matter of the left occipital lobe (blue arrow) (A); resolution of vasogenic edema at day 9 (B)
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F4
Due to the depressed consciousness of the patient, MRI was performed and T2-FLAIR sequences demonstrated hyperintense vasogenic edema, particularly, the white matter of the left occipital lobe (Fig. 4A). On day 9 cranial MRI showed complete resolution of the vasogenic edema of the left occipital lobe (Fig. 4B).
Intraretinal fluid resolved completely and SRD resolved partially in the right (A) and left eye (B) on day 4. Swelling in the outer most retinal layers with very shallow sub retinal fluid is seen (blue arrow). Many hyper reflective dots predominately in the outer retinal layers are also present (white arrows)
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F5
On day 4 while confusion persisted, SRD resolved (Fig. 5) and visual acuity improved to 20/ 25 bilaterally.
Retinal detachment was completely resolved at day 9, right eye (A), left eye (B)
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F6
A repeated ophthalmoscopy revealed complete resolution of SRD and normal visual acuity, bilaterally (Fig. 6,7).