Imaging while on steroid therapy. (A, B) After the use of oral prednisone, subretinal fluid collections can be appreciated on color fundus imaging of the right and left eyes, respectively. Lines indicate the location of the subsequent optical coherence tomography (OCT) B-scan images. (C, D) Spectral-domain OCT (SD-OCT) imaging showing a persistent subfoveal inflammatory pigment epithelial detachment with new subretinal fluid in the right and left eyes adjacent to the optic nerve. (E, F) Middle phase indocyanine green angiography (ICGA) images during the same visit confirming focal areas of hyperfluorescence suggesting choroidal hyperpermeability. These areas are similar to those seen in Figure 1F, which was the ICGA from the initial visit. Of note, there is a significant loss of choroidal vascular flow at the fovea in the right eye. Lines indicate the location of the subsequent OCT B-scan images. (G) SD-OCT image of the right eye showing a scan of the subfoveal lesion. (H) SD-OCT image of the left eye showing a normal fovea.
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