case_images: PMC10032287_01
case_images: Humphrey's visual field examination of the right eye shows an enlargement of the blind spot enlargement with MD: -4.58 db. MD: Mean deviation
case_images: SJO-37-66-g001.jpg
case_images: PMC10032287_01_SJO-37-66-g001.jpg
case_images: F1
case_images: Humphrey's visual field (HVF) demonstrated an enlargement of the blind spot of the right eye with a mean deviation (MD) of - 4.58 dB, P <1%, and pattern standard deviation of 11.69, P < 0.5% [Figure 1].
case_images: In the upper left fundus, photograph reveals multiple white lesions around the optic disc. Fluorescein angiography shows early hypofluorescence and late hyperfluorescence that correlated with the multiple punched-out lesions without optic disc staining
case_images: SJO-37-66-g002.jpg
case_images: PMC10032287_01_SJO-37-66-g002.jpg
case_images: F2
case_images: Fluorescent angiography revealed hypofluorescence in the early phases and hyperfluorescence in the late phases that correlated with the multiple punched-out lesions without optic disc staining [Figure 2].
case_images: ICG angiography demonstrated choroidal silence since the early phases according to the retina lesions. ICG: Indocyanine green angiography
case_images: SJO-37-66-g003.jpg
case_images: PMC10032287_01_SJO-37-66-g003.jpg
case_images: F3
case_images: Indocyanine green angiography demonstrated "choroidal silence" during all phases [Figure 3].
case_images: Right: 3-year follow-up right eye fundus photograph shows atrophic areas where the previous white lesions existed. Autofluorescence reveals hypoautofluorescent spots around the optic disc while the OCT macula remains unremarkable. OCT: Optical coherence tomography
case_images: SJO-37-66-g004.jpg
case_images: PMC10032287_01_SJO-37-66-g004.jpg
case_images: F4
case_images: The blind spot remained stable over a period of 3 years, but fundoscopy revealed areas of focal retinal atrophy at the same spots where the previous white lesions existed [Figure 4].