Fluorescein Leakage within Recent Subretinal Hemorrhage in Pathologic Myopia: Suggestive of CNV?

Figure 2

Multimodal imaging findings in a 27-year-old girl presenting with new-onset decreased visual acuity and fixed scotoma in front of her left eye for 2 weeks (refractive error: −19.0 D). At the time of 27.50″ after dye injection, (a) fluorescein angiography (FA) showing blocked fluorescence from subretinal hemorrhage in the macular area and with several linear transmission hyperfluorescence outside it (window defect, green arrowhead). At 2′43.30″, FA revealing focal hyperfluorescence (b) within bleeding area (white arrowhead) (c) and with slight leakage during the late phase (white arrowhead). (d) Indocyanine green angiography revealing linear hypofluorescence of a lacquer crack (green arrowhead) corresponding to the site of fluorescein leakage. (e) Optical coherence tomography angiography showing no high-flow signal in the outer retinal segmentation. (f) Spectral-domain optical coherence tomography revealing focal rupture of the RPE-BM-CC complex with a volcanic geyser-like appearance, without an exudative sign. With the absorption of the hemorrhage, the ruptured RPE-BM-CC complex gradually resolved during the 3-month follow-up (g–i).