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case_images: (A) Fundus photograph, autofluorescence and ocular coherence tomography findings at 10 days post vaccination. There is left eye yellowish raised elevation and hyperautofluorescence at the fovea with dome-shaped elevation of the RPE at the fovea causing disruption of the ellipsoid zone. No subretinal fluid was noted. (B) Fundus photograph, ocular coherence tomography (OCT), fundus fluorescein angiography (FFA) and indocyanine green angiography (ICGA) of the same patient at 15 days post vaccination showed improvement clinically. The yellowish elevated lesion at the fovea had reduced in size, corresponding to the reported improvement in symptoms. The lesion from OCT was still present. There was hyperfluroescence at the macula in venous phase of FFA and hypocyanescence at the macula on ICGA.
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case_images: Examination of the right eye was unremarkable ( Figure 1A ). Fundus autofluorescence showed hyperautofluorescence at the foveal region that corresponded clinically to the location where the yellowish-white lesion was observed at the macula ( Figure 1A ). No polyps, branching vascular networks, or evidence of choroidal neovascularization were seen ( Figure 1B ).
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case_images: (A) Right eye fundus and OCT macula on presentation, 3 days post vaccination. (B) Right eye fundus and OCT macula 2 weeks post vaccination.
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case_images: Ocular coherence tomography (Topcon Spectral Domain OCT) showed loss of foveal contour with the presence of intraretinal and subretinal fluid, and a fibrovascular pigment epithelial defect ( Figure 2A ). OCT macula revealed resolution of intraretinal fluids; however, the subretinal fluid was similar in size and the fibrovascular PED was more defined ( Figure 2B ).
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case_images: (A) Fundus photo and OCT macula showing bilateral placoid lesions in the choroid with macula edema on presentation. (B) Fundus photo and OCT macula showing resolution of bilateral placoid lesions and macula edema one week post-treatment with intravenous methylprednisolone.
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case_images: Posterior segment examination showed bilateral fibrinous placoid lesions in the choroid with severe inner and outer macula edema ( Figure 3A ). Her visual acuity was 6/6 OU, with no macula edema or placoid lesions seen both clinically and on ocular imaging ( Figure 3B ).
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