PMC3218168_01
(A and B) Color fundus photograph montages showing disk edema, diffuse retinal whitening, and retinal hemorrhages more prominent in the left eye compared to the right eye. (C) Optical coherence tomography showing atrophy of the temporal retina and disruption of inner segment-outer segment junction of the photoreceptor in the right eye. (D) Optical coherence tomography revealing edema of the nasal macula and central foveal hyper-reflectivity consistent with a scar in the left eye. (E) Optical coherence tomography thickness map of the right eye demonstrating temporal thinning.
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Dilated fundus examination revealed disk edema, retinal whitening, and retinal hemorrhages in both eyes (Figure 1A and B). Optical coherence tomography showed atrophy of the temporal retina and disruption of the inner segment-outer segment junction of the photoreceptor layer in the right eye (Figure 1C and E) with thickening and edema of the nasal macula, and central foveal hyper-reflectivity consistent with a scar in the left eye (Figure 1D).
(A) Color photograph and (B) fluorescein angiogram of the right eye 1 month after presentation.
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One month later, the right eye was without neovascularization (Figure 2) and the patient was found to have neovascularization of the disk and ischemia in the mid-periphery in the left eye (Figure 3).
(A) Color photograph of the left eye 1 month after presentation revealing neovascularization of the disk. (B, C and D) Early, mid, and late fluorescein angiograms of the left eye at the same visit demonstrating leakage of the disk consistent with neovascularization. (E) Fluorescein angiogram of the mid-periphery revealing ischemia superonasal to the disk.
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One month later, the right eye was without neovascularization (Figure 2) and the patient was found to have neovascularization of the disk and ischemia in the mid-periphery in the left eye (Figure 3).
Color photographs of the right (A) and left (B) eyes 5 months after pan-retinal photocoagulation, demonstrating regression of neovascularization of the disk. Optic atrophy and pallor are present.
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The neovascularization had regressed (Figure 4), and he was referred to low vision services.