PMC3589209_01
Composite fundus photograph, fluorescein angiography and vertical OCT of the left eye. (a) Composite fundus photograph of the left eye on the day of presentation demonstrating mild vitritis, optic nerve edema with overlying exudates, macular thickening, and multiple track-like chorioretinal scars (arrowheads). Retinal veins show phlebitis with areas of inflammatory exudates (arrows). (b) and (c) Fluorescein angiography of the left eye shows leakage of fluorescein from the optic nerve and the retinal veins. (d) Vertical OCT image of the left eye demonstrates subretinal and intraretinal fluid.
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F1
Fundus examination showed mild posterior vitreous debris (Figure 1a). There were multiple, track-like chorioretinal scars around the nasal portion of the retina, near the optic disk, and extending into the periphery (Figure 1a). Fluorescein angiography of the left eye showed leakage of fluorescein from the optic nerve and the retinal veins (Figure 1b, c). Optical coherence tomography (OCT) of the left eye showed subretinal and intraretinal fluid (Figure 1d).
Composite fundus photographs of the left eye 1 week and 17 months after initial presentation. (a) Composite fundus photograph of the left eye 1 week after initial presentation shows the development of a macular star and resolving perivenular and peripapillary exudates. (b) Fundus examination showed post-infectious changes 17 months after presentation.
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F2
Funduscopic examination showed decreased subretinal fluid, development of a macular star, and resolving perivenular and peripapillary exudates (Figure 2a). Visual acuity improved to 20/80 17 months after his initial presentation (Figure 2b).