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case_images: Heidelberg Spectralis, infrared reflectance imaging, shows in the right eye pockets of subretinal fluid in the left eye, around the fovea, and inner retinal radial folds in a star-like fashion. Green lines in the infrared images represent the location of Optical Coherence Tomographic raster scans. OCT images on the right: In both eyes, there are subretinal fluid and focal nodular elevations of the retinal pigment epithelium (white arrow).
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case_images: Optical coherence tomography (OCT) demonstrated pockets of subretinal fluid (SRF) and focal retinal pigment epithelium (RPE) changes with nodular elevations (Figure 1).
case_images: Seven days from presentation, right eye Fig. 2A, left eye Fig. 2B. Heidelberg Spectralis infrared imaging shows multiple nodular reflectances of RPE in the macular area. Fluorescein angiography (FA) shows focal blockage from peripapillary hemorrhages, early and late hyperfluorescence from pinpoints in the macular region, corresponding to multiple focal hypofluorescent spots in the late phase of indocyanine green angiography (ICGA). Raster scans with EDI optical coherence tomography show significant choroidal thickening in both eyes and flat serous retinal detachment (white arrow).
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case_images: OCT was followed by fluorescein angiography (FA) and indocyanine green angiography (ICGA) (Figure 2A and 2B).