David A Reichstein, MD » Miscellaneous

Apr 15 2024 by David A Reichstein, MD

(A) Ultra-widefield color fundus photograph demonstrating a large, localized area of subretinal fluid surrounded by lipid exudation at its superior and posterior borders. (B) Posterior segment B-scan ultrasonography demonstrates that the lesion is hollow, suggestive of localized subretinal fluid. (C) Early-stage ultra-widefield FA demonstrates an absence of early fluorescence. (D) Late-stage ultra-widefield FA demonstrates late hyperfluorescence.

Condition/keywords: peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

Apr 15 2024 by David A Reichstein, MD

(A) Ultra-widefield color fundus photograph demonstrates a temporal PEHCR causing minimal intra- and subretinal hemorrhage along with lipid exudation. There is an associated inferior detachment due to the dependent nature of the exudation. Note the lipid exudation at the posterior edge of the detachment indicating chronicity of the lesion. Drusen in the macula are also appreciated. (B) Ultra-widefield FA in early stage demonstrates hypofluorescence temporally and inferiorly. (C) Ultra-widefield color fundus photograph taken after 1 year of monthly anti-VEGF therapy demonstrates resolution of the exudative detachment and resultant chorioretinal scarring.

Condition/keywords: peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

Apr 15 2024 by David A Reichstein, MD

(A) Ultra-widefield color fundus photograph demonstrates a PEHCR encroaching upon the temporal macula. Lipid exudation is apparent at the lesion’s anterior and inferior border. Subretinal hemorrhage is apparent at the lesion’s inferior border. Drusen are apparent in the macula. An unrelated, small choroidal nevus is apparent in the inferior fundus. (B) Ultra-widefield FA taken in early stage demonstrates hypofluorescence within the lesion consistent with blockage by possible sub-RPE or subretinal heme. (C) Ultra-widefield fundus photograph taken 6 months following the initiation of monthly anti-VEGF therapy demonstrates considerable reduction in the size of the lesion and resolution of the subretinal hemorrhage and lipid exudation. (D) Ultra-widefield fundus photograph taken 1 year after presentation where a treat-and-extend approach was performed for the most recent 6 months. The lesion had almost completely resolved.

Condition/keywords: peripheral exudative hemorrhagic chorioretinopathy (PEHCR)