case_images: PMC10987251_01
case_images: (a, b) At the first visit, color fundus photographs taken on the Optos platform showed mild perifovea pigmentary change. (c, d) AF showed markedly increased AF. (e, f) FFA appeared as multifocal lesions of hyperfluorescence in the late stage. (g) OCT revealed nonconforming FCE with retinal neuroepithelium and retinal pigment epithelium serous detachment in the right eye. (h) OCT showed nonconforming FCE with retinal neuroepithelium serous detachment in the left eye. (i, j) OCTA showed no evidence of neovessel in the right or left eye.
case_images: CRIOPM2024-5519361.001.jpg
case_images: PMC10987251_01_CRIOPM2024-5519361.001.jpg
case_images: fig1
case_images: Examination of both the fundi revealed mild perifoveal retinal pigmentary changes, with greater changes in the right eye (Figures 1(a) and 1(b)). Fundus autofluorescence (AF) revealed areas corresponding to retinal lesions (Figures 1(c) and 1(d)). FCE appears as fluorescence transmitted, and multifocal lesions showed hyperfluorescence in the late stage of fluorescein fundus angiography (FFA) (Figures 1(e) and 1(f)). Optical coherence tomography (OCT) revealed FCE with subretinal fluid in both eyes and serous pigment epithelial detachment in the right eye (Figures 1(g) and 1(h)). Optical coherence tomography angiography (OCTA) showed no evidence of flow signals in the right or left eye (Figures 1(i) and 1(j)).
case_images: (a, b) Color fundus photographs taken 2 months after his first visit showed stable perifoveal pigmentary retinal changes in both eyes. (c, d) AF demonstrated increased hyperautofluorescence compared to before. (e) OCT revealed increased SRF in the right eye after 2 months of follow-up. (f) OCT showed that the serous fluid in the left eye was stable.
case_images: CRIOPM2024-5519361.002.jpg
case_images: PMC10987251_01_CRIOPM2024-5519361.002.jpg
case_images: fig2
case_images: SRF in the right eye compared with that in his first visit (Figure 2(e)), and the serous fluid in the left eye was stable (Figure 2(f)). Standard laser fluence (level: I spot; spot diameter: 50 mum; power: 70 mW; exposure time: 0.1 s.) was used in the right eye, and a subthreshold micropulse laser (SML) was simultaneously used in the left eye.
case_images: (a) Color fundus of the right eye showed perifoveal retinal pigmentary changes 1 month after his treatment. (b) AF demonstrated scattered dots with high fluorescence increases corresponding to the site of laser treatment. (c) Color fundus of the right eye showed no change. (d) AF of the right eye showed no change. (e, f) Follow-up OCT showed the serous fluid in both eyes resolved markedly. (g, h) Follow-up OCT at 4 months showed a completed resolution of SRF after treatment, and the FCE remained the same. (i, j) There was no active leakage in the FFA. (k, l) OCTA showed no evidence of neovessel in the right or left eye.
case_images: CRIOPM2024-5519361.003.jpg
case_images: PMC10987251_01_CRIOPM2024-5519361.003.jpg
case_images: fig3
case_images: There was no active leakage in the FFA (Figure 3).