case_images: PMC5437425_01
case_images: a Fundus examination revealed a pale, dot-like, subretinal lesion inferior to the foveola with subretinal fluid and subretinal hemorrhage along the inferior arcade. b Fluorescein angiography showed an area of hyperfluorescence with leakage at the center of the macula of the right eye, indicating the presence of a subretinal neovascular membrane. c Fundus examination in the left eye revealed a yellowish subretinal material. d The left eye showed an area of hyperfluorescence without leakage, indicating staining of the retinal pigment epithelium both around and inferior to the foveal center.
case_images: cop-0008-0265-g01.jpg
case_images: PMC5437425_01_cop-0008-0265-g01.jpg
case_images: F1
case_images: Fundus examination revealed a pale, dot-like, subretinal lesion inferior to the foveola with subretinal fluid and subretinal hemorrhage along the inferior arcade (Fig. 1a). In the left eye, a yellowish subretinal material was present (Fig. 1c). Fluorescein angiography showed an area of hyperfluorescence with leakage at the center of the macula of the right eye, indicating the presence of a subretinal neovascular membrane (Fig. 1b). The left eye showed an area of hyperfluorescence without leakage, indicating staining of the retinal pigment epithelium (RPE) both around and inferior to the foveal center (Fig. 1d).
case_images: a, b Fundus examination (a) and fluorescein angiography (b) of the right eye show no more leakage in the right eye. c, d Fundus examination (c) and fluorescein angiography (d) of the left eye showed a submacular neovascular membrane with hyperfluorescence and leakage at the foveal center. e Stratus optical coherence tomography examination clearly revealed a type 2 membrane.
case_images: cop-0008-0265-g02.jpg
case_images: PMC5437425_01_cop-0008-0265-g02.jpg
case_images: F2
case_images: In July 2004 she returned showing an excellent result in the right eye, maintaining her postoperative 20/25 vision (Fig. 2a, b). Fluorescein angiography revealed the presence of a submacular neovascular membrane with hyperfluorescence and leakage at the foveal center (Fig. 2d), and Stratus OCT examination clearly revealed a type 2 membrane (Fig. 2e).
case_images: a, b Fundus color retinographies were done for both eyes, showing a central macular yellow deep lesion in both eyes. c, e Spectral domain optical coherence tomography revealed large amounts of fluid with many cystic spaces and a retinoschisis appearance in both eyes before PPV. d, f Spectral domain optical coherence tomography b scan showed much less fluid after PPV.
case_images: cop-0008-0265-g03.jpg
case_images: PMC5437425_01_cop-0008-0265-g03.jpg
case_images: F3
case_images: Fundus color retinography (Fig. 3a, b) and autofluorescence retinography were performed on both eyes, showing an area of hypoautofluorescence covering most of the posterior pole in both eyes. Spectral domain OCT revealed large amounts of fluid with many cystic spaces and appearance of retinoschisis in both eyes (Fig. 3c, e). Four weeks later, she began to have intraretinal fluid again (Fig. 3d, f), although at a much lower level.