case_images: PMC3350172_01
case_images: Evolution of choroidal lesion, left eye, over the course of one year.
case_images: CRIM.OPHMED2011-740640.001.jpg
case_images: PMC3350172_01_CRIM.OPHMED2011-740640.001.jpg
case_images: fig1
case_images: This lesion enlarged over the following 12 months to approximately 5 x 5 mm with 1 mm elevation and a significant amount of lipofuscin (Figure 1).
case_images: The right fundus is unremarkable. Left eye, six months after radioactive iodine treatment: fine, patchy, pigmentary changes throughout the posterior pole with an unchanged appearance of the original pigmented lesion. Fluorescein angiography shows blocking of the original lesion and fine hyperfluorescence corresponding to the areas with pigmentary change on fundus photos.
case_images: CRIM.OPHMED2011-740640.002.jpg
case_images: PMC3350172_01_CRIM.OPHMED2011-740640.002.jpg
case_images: fig2
case_images: Fluorescein angiography showed blocking of the original lesion as well as diffuse, stippled hyperfluorescence in the areas of pigment alteration (Figure 2). Fluorescein angiography showed circular areas of transmission defects as well as fine staining within these regions (Figure 2).
case_images: Color fundus photos of both eyes show nummular plaque-like patches at the level of the retinal pigment epithelium. Fluorescein angiography shows round areas of transmission defects as well as fine staining within these regions. OCT of the left eye shows intraretinal cysts, subretinal fluid, as well as disruption of the retinal pigment epithelium.
case_images: CRIM.OPHMED2011-740640.003.jpg
case_images: PMC3350172_01_CRIM.OPHMED2011-740640.003.jpg
case_images: fig3
case_images: The right eye developed similar findings of nummular plaque-like patches on the level of the RPE (Figure 3).