case_images: PMC10798681_01
case_images: a, b External images of right eye (OD) and left eye (OS), respectively, at the first visit which reveal faint band keratopathy nasal and temporal of cornea OD and temporal of cornea OS, posterior synechia 360 degrees, fibrous membrane on lens, and cortical and posterior subcapsular cataract in both eyes (OU). c, d Fundus photos of OD and OS, respectively, at the first visit which show hazy media and disc swelling OU. e, f Fundus photos of OD and OS, respectively, at the 1-month follow-up visit which demonstrate no media haziness and improvement in disc swelling in OU. g, h Fluorescein angiography (FA) of OD and OS, respectively, at the first visit which depict disc and vascular leakage in both eyes. i, j FA of OD and OS, respectively, at the 1-month follow-up visit which show impressive improvement in disc and vascular leakage in both eyes. There is still staining of optic nerve head OU secondary to papilledema. k, l Indocyanine green angiography (ICGA) of OD and OS, respectively, at the first visit which show hypocyanescent lesions OU with indistinct borders indicating active choroiditis OU. m, n ICGA of OD and OS, respectively, at the 1-month follow-up visit which show hypocyanescent lesions OU with more distinct borders indicating distinct choroidal scars of previous active choroiditis OU.
case_images: cop-2024-0015-0001-535984_F01.jpg
case_images: PMC10798681_01_cop-2024-0015-0001-535984_F01.jpg
case_images: F1
case_images: Slit-lamp exam revealed bilateral faint band keratopathy, along with 1+ anterior chamber cells, posterior synechia 360 , fibrous membrane on lens, and cortical and posterior subcapsular cataract in both eyes (OU) (Fig. 1a, b). OU (Fig 1c, d). Fluorescein angiography (FA) depicted disc and vascular leakage in both eyes (Fig. 1g, h). Indocyanine green angiography showed hypocyanescent lesions OU with indistinct borders, indicating active choroiditis OU (Fig. 1k, l). Figure 1e and f illustrate improvement seen in media haziness and disc swelling on dilated fundoscopy, the stability of OCT of macula OU along with no vitreous opacities OD, improved choroidal thickening OU (Fig. 2b, d), improvement in the optic nerve OCT (retinal nerve fiber layer) (Fig. 3b, d), FA (Fig. 1i, j) and indocyanine green angiography with transition from active choroiditis and granuloma into distinct choroidal scars (Fig. 1m, n).
case_images: a Optical coherence tomography (OCT) of right macula (OD) at the first visit which shows normal structure and contour, along with vitreous opacities and possible choroidal thickening (395 mum). b OCT of macula OD at 1-month follow-up visit which shows resolved vitreous opacities and improved choroidal thickening (333 mum). c OCT of left macula (OS) at the first visit which shows normal structure and contour, along with possible choroidal thickening (370 mum). d OCT of macula OS at 1-month follow-up visit which shows improved choroidal thickening (319 mum).
case_images: cop-2024-0015-0001-535984_F02.jpg
case_images: PMC10798681_01_cop-2024-0015-0001-535984_F02.jpg
case_images: F2
case_images: Optical coherence tomography (OCT) of macula showed normal structure and contour OU along with vitreous opacities OD and possible choroidal thickening OU (Fig. 2a, c). Optic nerve head OCT retinal nerve fiber layer thickness map demonstrated thickening of retinal nerve fiber layer OU (Fig. 3a, c).
case_images: Circular optical coherence tomography (OCT) of optic nerve head. a Segmentation of retinal nerve fiber layer (RNFL) and RNFL thickness map in the right eye (OD) at the first visit which shows thickening of RNFL. b Segmentation of RNFL and RNFL thickness map OD at the 1-month follow-up visit which shows an improvement in the thickening of the RNFL. c Segmentation of RNFL and RNFL thickness map in the left eye (OS) at the first visit which shows thickening of RNFL in the superior and inferior quadrants. d Segmentation of RNFL and RNFL thickness map OS at the 1-month follow-up visit which shows an improvement in the thickening of the RNFL.
case_images: cop-2024-0015-0001-535984_F03.jpg
case_images: PMC10798681_01_cop-2024-0015-0001-535984_F03.jpg
case_images: F3
case_images: Optical coherence tomography (OCT) of macula showed normal structure and contour OU along with vitreous opacities OD and possible choroidal thickening OU (Fig. 2a, c). Optic nerve head OCT retinal nerve fiber layer thickness map demonstrated thickening of retinal nerve fiber layer OU (Fig. 3a, c). Figure 1e and f illustrate improvement seen in media haziness and disc swelling on dilated fundoscopy, the stability of OCT of macula OU along with no vitreous opacities OD, improved choroidal thickening OU (Fig. 2b, d), improvement in the optic nerve OCT (retinal nerve fiber layer) (Fig. 3b, d), FA (Fig. 1i, j) and indocyanine green angiography with transition from active choroiditis and granuloma into distinct choroidal scars (Fig. 1m, n).