case_images: PMC4899654_01
case_images: a Right-eye fundus at the initial examination, showing an exudative retinal detachment. b SD-OCT scans of the right eye during the initial examination. SD-OCT scan displaying an exudative retinal detachment containing some hyperreflective membranous structures (star).
case_images: cop-0007-0090-g01.jpg
case_images: PMC4899654_01_cop-0007-0090-g01.jpg
case_images: F1
case_images: Fundus examination showed an exudative retinal detachment of the posterior pole in the right eye, without uveitis or papillary edema (fig. 1a). Spectral-domain optical coherence tomography (SD-OCT) confirmed the exudative retinal detachment with intraretinal cysts in the right eye (fig. 1b) and choroidal atrophy in the left eye.
case_images: Indocyanine green angiography showing irregular perfusion of the choroid.
case_images: cop-0007-0090-g02.jpg
case_images: PMC4899654_01_cop-0007-0090-g02.jpg
case_images: F2
case_images: Fluorescein and indocyanine angiography found a delayed choroidal perfusion (fig. 2).
case_images: a Right-eye fundus 2 days after plasmapheresis exchange, showing the disappearance of retinal detachment. b SD-OCT scans of the right eye 2 days after plasmapheresis exchange confirm the total disappearance of retinal detachment. c Ischemia sequel (b) with pigment epithelium swelling (star) on the SD-OCT scans after plasmapheresis.
case_images: cop-0007-0090-g03.jpg
case_images: PMC4899654_01_cop-0007-0090-g03.jpg
case_images: F3
case_images: Fundus and SD-OCT found a total disappearance of the exudative retinal detachment (fig. 3a, b). However, ischemia sequels were present with pigmented retinal epithelium swelling (fig. 3c).