Using Spectral-Domain Optical Coherence Tomography to Follow Outer Retinal Structure Changes in a Patient with Recurrent Punctate Inner Choroidopathy

Figure 2

Spectralis spectral-domain optical coherence tomography (SD-OCT) images taken at the same location of both eyes over a 5.5-month period in a patient with recurrent punctate inner choroidopathy. (a) and (b) Initial visit. (b) Shows outer retinal irregularity and inner retinal fluid (IRF) from choroidal neovascular membrane (CNVM). (c) and (d) Followup two weeks later. After intravitreal bevacizumab treatment, left eye, shows resolution of IRF (d). (e) and (f) Two months later shortly after stopping chronic antiviral therapy. The patient experienced new photopsias, right eye, and SD-OCT revealed homogenous outer retinal thickening over chorioretinal lesions consistent with recurrent inflammatory activity (e). (g) and (h) Three months later after treatment. Symptoms subsided, and outer retinal thickening has resolved (g). Left eye shows no reoccurrence of CNVM (h).