Fig. 4

Initial macular SD-OCT (a) of a 68-year-old female diagnosed with idiopathic chronic anterior uveitis, revealing CME with a CFT of 686 μm (b) and a BCVA of 20/200. After four years of systemic immunosuppressive therapy, periocular and intravitreal corticosteroid injections, there is complete resolution of the CME (c) with a CFT of 218 μm (d), but with persistent visual loss (BVCA = 20/100). The white arrowheads identify the disruption of both EPIS and IZ retinal layers in the initial and final crossline SD-OCT images, along with subfoveal retinal pigment epithelium (RPE) atrophy in the final image. SD-OCT spectral-domain optical coherence tomography, CME cystoid macular edema, CFT central foveal thickness, BCVA best corrected visual acuity, EPIS ellipsoid portion of inner segments, IZ interdigitating zone