case_images: PMC11807407_01
case_images: Fundus photograph of the left eye showing the optic disc pit and peripapillary hemorrhage
case_images: cureus-0017-00000077231-i01.jpg
case_images: PMC11807407_01_cureus-0017-00000077231-i01.jpg
case_images: FIG1
case_images: Posterior segment examination showed bilateral irregular optic disc margins along with optic disc pit and peripapillary hemorrhage in the left eye (Figure 1).
case_images: Fundus autofluorescence showing the hyper-autofluorescence at the optic nerve head bilaterally
case_images: cureus-0017-00000077231-i02.jpg
case_images: PMC11807407_01_cureus-0017-00000077231-i02.jpg
case_images: FIG2
case_images: Fundus autofluorescence was done which confirmed bilateral optic nerve head drusen (Figure 2).
case_images: OCT at presentation showing the sub-retinal fluid and sub-retinal hyperreflectivity. OCT: optical coherence tomography
case_images: cureus-0017-00000077231-i03.jpg
case_images: PMC11807407_01_cureus-0017-00000077231-i03.jpg
case_images: FIG3
case_images: Optical coherence tomography (OCT) of the macula of the right eye was normal but showed peripapillary sub-retinal fluid in the left eye (Figure 3).
case_images: OCT angiography showing the sub-retinal vascular net in the peripapillary area. OCT: optical coherence tomography
case_images: cureus-0017-00000077231-i04.jpg
case_images: PMC11807407_01_cureus-0017-00000077231-i04.jpg
case_images: FIG4
case_images: OCT angiography (OCT-A) showed a sub-retinal vascular net in the peripapillary area of the left eye (Figure 4).
case_images: FFA showing the hyperfluorescence in the peripapillary area . FFA: fundus fluorescein angiography
case_images: cureus-0017-00000077231-i05.jpg
case_images: PMC11807407_01_cureus-0017-00000077231-i05.jpg
case_images: FIG5
case_images: Fundus fluorescein angiography (FFA) was performed which confirmed leakage consistent with OCT-A (Figure 5).
case_images: OCT one-week post-anti-VEGF injection showing the significant improvement in sub-retinal fluid . OCT: optical coherence tomography; anti-VEGF: anti-vascular endothelial growth factor
case_images: cureus-0017-00000077231-i06.jpg
case_images: PMC11807407_01_cureus-0017-00000077231-i06.jpg
case_images: FIG6
case_images: Her visual acuity improved from 6/60 to 6/9 and sub-retinal fluid was significantly improved (Figure 6).