PMC5221811_01
Initial ocular manifestations.. Notes: (A) Slit-lamp photographs showed anterior chamber inflammation and severe conjunctivitis in both eyes. Fluorescein leakage was observed in the anterior chamber. (B) Fundus photographs showed mild optic disk edema and disk hemorrhage in the left eye. (C) Fluorescein angiographic images showed dye leakage at the optic disk in the left eye. (D) Optical coherence tomographic (OCT) images showed no abnormal foveal findings in both eyes.. Abbreviations: R, right; L, left.
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Slit-lamp biomicroscopy showed more than one cell in the anterior chamber, fine keratic precipitates and conjunctivitis in both eyes (Figure 1A), and bilateral shallow anterior chamber. Funduscopy revealed mild optic disk edema and disk hemorrhage in the left eye (Figure 1B). Fluorescein angiography showed dye leakage at the optic disk (Figure 1C). Optical coherence tomography (OCT) showed no abnormal findings in bilateral foveae (Figure 1D).
Visual field tests using a Goldmann perimeter.. Notes: (A) Central and paracentral scotomas were observed in the left eye at the initial ocular examination. (B) Regression of visual field defect was observed in the left eye at 2-month follow-up after pulse steroid therapy.
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Visual field testing with a Goldmann perimeter showed central and paracentral scotomas in the left eye (Figure 2A). Two months after onset, his BCVA improved to 20/50 with regression of visual field defects in his left eye (Figure 2B).
Full-field electroretinograms showing changes before and after pulse steroid therapy.. Notes: (A) At the initial ocular examination, reductions in amplitude of oscillatory potentials and b-wave were observed in both eyes. (B) After pulsed-dose steroid therapy, recovery in oscillatory potentials was observed.
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On a full-field electroretinogram (ERG), reductions in the amplitude of oscillatory potentials and b-wave were observed (Figure 3A). On a full-field ERG, recovery in oscillatory potentials was observed (Figure 3B).