OSLI Retina

December 2016

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1144 Ophthalmic Surgery, Lasers & Imaging Retina | Healio.com/OSLIRetina Figure 1. Color fundus photograph of the right (A) and left (B) eyes at pre- sentation revealing a yellow, elevated, round "egg–yolk-like" (vitelliform) le- sion in the macular region bilaterally (arrowheads). The vitelliform material can be seen gravitating inferiorly and layering out within the areas of sub- retinal fluid as a pseudophypopyon. Green fundus autofluorescence imag- ing of the right (C) and left (D) eyes showing brightly hyperautofluores- cent material within the lesion. Fluo- rescein angiography of the right (E) and left (F) eyes at 7.43 seconds and 7.06 seconds, respectively, demon- strating hypofluorescence without leakage corresponding to the clini- cally observed location of the lesions (arrowheads). Figure 2. Horizontal (A, C) and vertical (B, D) swept-source optical coherence tomography scans through the lesion in both eyes. An amorphous material is present above the retinal pigment epithelium and results in a dome-shaped elevation of the overlying neuro- sensory retina. The ellipsoid zone and external limiting membrane are intact and appear to be draped over the subfoveal material. The choroid is thickened in both eyes, measured at 407 µm in the right eye and 444 µm in the left eye.

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