Fig. 2

Multimodal imaging was acquired a few days after admission at the first ophthalmological evaluation, at discharge and during follow-up. In the multicolor fundus photo, we see retinal lipidic exudates, radiating along the retinal nerve fiber layer resembling a macular star, with cotton wool spots, a marker of inner retina ischemic injury in both right (A) and left (B) eye. At spectral-domain optical coherence tomography, we appreciate a serous neuroretinal detachment with intraretinal exudates at the macular level and around the optic papilla (Figs. C and D, respectively, right and left eye). At discharge, we see a reduction in neuroretinal detachment in both eyes and partial reabsorption of intraretinal exudates (G right eye, H left eye). In multicolor fundus pictures, we see partial reabsorption of cotton wool spots and lipidic exudates (E, F). Two months after the admission, the clinical picture has substantially resolved, with almost total reabsorption of lipidic exudates and absence of subretinal fluid (M, N). Only traces of lipidic exudates and cotton wool spots are left at fundus multicolor imaging (I, L)