Fig. 1

Fundus fluorescein angiography (FFA) and optical coherence tomography (OCT) features of case 4: A 37-year-old female with a history of valvular heart disease presented to the retina clinic with sudden vision loss in the right eye over the course of the last few hours. Her right eye presented with light perception vision. On the day of presentation, an OCT scan of the right eye revealed moderate severity of CRAO, cystoid macular edema, and a small subfoveal pocket of neurosensory detachment. On the same day, FFA was performed, revealing the presence of a patent cilioretinal artery and an arm-retina time of 14.9 s. Multiple hyperfluorescent pinpoint spots were identified in the FFA’s middle phase. They were associated with minimal vascular leakage and staining in the final phase of the FFA (A-E). Thirteen days later, OCT and FFA imaging of the retina was repeated. The OCT scan revealed thinning of the inner retinal layers, resolution of the cystoid macular edema, and neurosensory detachment. During this imaging session, the hyperfluorescent pinpoint spots observed in the previous FFA images had disappeared (F-J).