PMC9931485_01
Color fundus photography, fluorescein angiography, and indocyanine green fluorescence angiography before treatment. The left column shows images of the right eye, and the right column shows images of the left eye. (a, b) Color fundus photography revealed extensive SRD and wavy RPE in both eyes. (c, d) Fluorescein angiography showed leakage at some pinpoint-sized areas, pooling on the posterior pole, and hyperfluorescent optic disks in both eyes. (e, f) Indocyanine green fluorescence angiography showed some hypofluorescent dark spots during the late phase.
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Fundus examination and optical coherence tomography showed serous retinal detachment (SRD), wavy retinal pigment epithelium (RPE), and choroidal thickening in both eyes (Figures 1(a), 1(b), 2(a), and 2(b)). Fluorescein angiography revealed leakage at some pinpoint-sized areas, pooling on the posterior pole, and hyperfluorescent optic disks in both eyes (Figures 1(c) and 1(d)). Indocyanine green fluorescence angiography showed some hypofluorescent dark spots during the late phase (Figures 1(e) and 1(f)).
Images of treatment progress on optical coherence tomography. The left column shows images of the right eye, and the right column shows images of the left eye. The patient's decimal BCVA on the same day was obtained. (a, b) Before treatment, both eyes had SRD, wavy RPE, and choroidal thickening. (c, d) After 1 week, the volume of subretinal fluid decreased. Only the right eye received subtenon injection of triamcinolone acetonide. Both eyes had similar improvements in abnormal findings. (e, f) After 1 month, SRD and wavy RPE disappeared. At this point, the maximum visual acuity was achieved before cataract surgery. (g, h) After 6 months and a half, the patient was in remission. Choroidal thinning had become more prominent. (i, j) After approximately 1 year, the patient remained in remission.
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Fundus examination and optical coherence tomography showed serous retinal detachment (SRD), wavy retinal pigment epithelium (RPE), and choroidal thickening in both eyes (Figures 1(a), 1(b), 2(a), and 2(b)). Further, the volume of subretinal fluid decreased (Figures 2(c) and 2(d)). After 1 month, SRD and wavy RPE disappeared (Figures 2(e) and 2(f)), and the BCVAs improved up to 0.9 in the right eye and 0.6 in the left eye. In both eyes, choroidal thinning (Figures 2(g) and 2(h)) and cataract (particularly in the left eye) gradually progressed. SRD and wavy RPE did not relapse 1 year after disease onset (Figures 2(i) and 2(j)).
Color fundus photography, fluorescein angiography, and indocyanine green fluorescence angiography after treatment. The left column shows images of the right eye, and the right column shows images of the left eye. (a, b) Color fundus photography showed a sunset glow appearance. SRD and wavy RPE were not observed. (c-f) Abnormal findings on fluorescein angiography or indocyanine green fluorescence angiography had disappeared.
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After approximately 1 year after disease onset, abnormal findings such as leakage and pooling on fluorescein angiography and hypofluorescent dark spots on indocyanine green fluorescence angiography had disappeared (Figures 3(c)-3(f)). Fundus examination revealed a sunset glow appearance (Figures 3(a) and 3(b)).