case_images: PMC9993166_01
case_images: Fundus image of both eyes using Optos ultra-wide field fundus imaging (Optos PLC, Dunfermline, UK). In the right eye, Roth spots can be seen in the larger detached area (white arrows).
case_images: cop-2023-0014-0001-529668_f1.jpg
case_images: PMC9993166_01_cop-2023-0014-0001-529668_f1.jpg
case_images: F1
case_images: On fundoscopy of the right eye, two peripheral serous detachments were seen, one minor detachment nasally and temporally a larger area with retinal hemorrhages and Roth spots (Fig. 1).
case_images: OCT scan of the left eye (DRI-OCT Triton, Topcon Inc., Tokyo, Japan) on presentation (top) and 24 days (bottom) after initial presentation, showing diminishing of sub-retinal fluid. Central choroidal thickness was measured at 255 mum (right eye) and 260 mum (left eye).
case_images: cop-2023-0014-0001-529668_f2.jpg
case_images: PMC9993166_01_cop-2023-0014-0001-529668_f2.jpg
case_images: F2
case_images: Optical coherence tomography (OCT) exposed sub-retinal fluid in these areas but no other (sub-retinal) abnormalities (Fig. 2).
case_images: Fluorescein angiography of both eyes using Optos ultra-wide field fundus imaging, made at 5 min after injecting fluorescein.
case_images: cop-2023-0014-0001-529668_f3.jpg
case_images: PMC9993166_01_cop-2023-0014-0001-529668_f3.jpg
case_images: F3
case_images: Fluorescein angiography showed dye leakage into the sub-retinal space (pooling) of all detached areas (Fig. 3).
case_images: Fundus photography (DRI-OCT Triton, Topcon Inc., Tokyo, Japan) of both eyes, 24 days after initial presentation.
case_images: cop-2023-0014-0001-529668_f4.jpg
case_images: PMC9993166_01_cop-2023-0014-0001-529668_f4.jpg
case_images: F4
case_images: Fundoscopy showed vanishing of the Roth spots in the right eye and some residual pigment epithelial alterations in the left eye (Fig. 4).