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Figure 3: Case 2 at presentation. Color fundus photograph of the left eye showing an oval ring like area of retinal whitening of about 2DD in size along the distribution of the superotemporal vascular arcade and few ill-defined small similar areas in nasal parafoveal region (a). Red free imaging of the left eye shows more precise hyperreflective areas corresponding to the lesions (b). Fundus autofluorescence showing an area of hypoautofluoresence corresponding to the superotemporal lesion (c); Parafoveal lesions are not picked up. SS-OCT reveals hyperreflective lesion located at INL extending into IPL and ONL (d). SS-OCT through the superotemporal lesion showed hyperreflectivity of the inner retinal layers, including the nerve fibre and ganglion cell layers (possibly suggestive of concomitant ischemia of the superficial capillary plexus) (e). FFA shows blocked choroidal hyperfluoresence with thinned-out retinal capillaries and non-perfused areas indicating ischemia in the superotemporal lesion (f) |
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