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Fig. 3 | BMC Ophthalmology

Fig. 3

From: Limited efficacy of adalimumab in the acute phase of serpiginous choroiditis refractory to corticosteroid and cyclosporine, a case report

Fig. 3

Fundus photographs and optical coherence tomography (OCT) images of a serpiginous choroiditis patient. a At initial presentation. b The lesion enlarged despite 6 days of oral prednisone (white arrow). The corresponding OCT revealed a hyperreflective lesion in the outer retina (black arrows). c Day 16. Even with steroid pulse therapy and sub-Tenon’s injection of triamcinolone, the lesion had continued to enlarge (white arrow). The original lesion rapidly progressed to an atrophy. d Day 24. We started cyclosporine, but the new lesion appeared upper to the optic disc (white arrow). The OCT showed development of the hyperreflective lesion (black arrows). e Day 41. Two weeks after the adalimumab injection., the lesion had enlarged to reach the nose (white arrow, black arrows). f Month 9. The disease had progressed for 8 months and left a fibrotic scar in the macula. No new lesions were observed after the 9th month

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