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Fig. 1 | International Journal of Retina and Vitreous

Fig. 1

From: Alternative management of central serous chorioretinopathy using intravitreal metoprolol

Fig. 1

Case 1. A Baseline autofluorescence of both eyes. In the OD, there is a mixture of stippled hyper- and hypo-autofluorescence in the posterior pole, including the macula, with extension inferonasally. In the OS, there is a hypo-autofluorescent area in the fovea, with pronounced hyper-autofluorescent regions inferonasal to the fovea. B Baseline spectral domain optical coherence tomography (SD-OCT) of the RE shows shaggy photoreceptors and subretinal fluid in the foveal area. CE 39 months after baseline, and 1 week before metoprolol injection. C Fluorescein and indocyanine green (ICG) angiography of the OD reveal multifocal areas of granular window defect with hyperfluorescent patches. On ICG angiography, there are focal areas of hyperfluorescnce in the initial and middle phases corresponding to areas of RPE changes and choriocapillaris hypermeability. A foveal hyperfluorescent fine-vessel choroidal network was suspected. D Optical coherence tomography angiography of the OD shows no signs of choroidal neovascularization. E SD-OCT of the OD before intravitreal metoprolol injection demonstrates shaggy photoreceptors, disruption of the ellipsoid zone, and subretinal fluid in the foveal area with RPE irregularity. F SD-OCT of the OD 12 weeks after metoprolol injection demonstrates resolution of the subretinal fluid

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