The Fundus Autofluorescence Spectrum of Punctate Inner Choroidopathy

Figure 4

Fundus photography (a, e), SW-FAF (b, f), ICGA (c), perimetry (d), and SD-OCT (g, h, i, and j) of the right eye of a 32-year-old female at the initial visit and 2 months later. The presented BCVA was 0.6. (a) Except for the atrophic lesions of PIC, nothing abnormal was shown on fundus photography. (b) Diffuse hyperautofluorescent patches were detected on SW-FAF, in addition to the hypoautofluorescence of atrophic PIC lesions. (c) Late phase of ICGA was normal in related areas except for some hypocyanescent spots nasal to the optic disc. (d) The visual field examination indicated blind spot enlargement and widespread visual field defects. With relative preservation at the fovea (i), SD-OCT imaging revealed diffuse loss of EZ in the peripapillary zone and in areas that corresponded with the enlarged blind spot. The ONL was preserved (g). Two months later, (e) no obvious change was observed on fundus photography. (f) The intensity of hyperautofluorescence on SW-FAF diminished. (h, j) The EZ reconstructed with focal disruption remained on SD-OCT.