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. 2014 Mar 13;55(3):1471–1482. doi: 10.1167/iovs.13-13834

Figure 4.

Figure 4

Pseudohypopyon stage (P7). With image registration, corresponding positions in the images (A–D) are shown as dashed vertical lines. (A) Fundus AF imaging reveals bright AF signal within the macular lesion that is much brighter than the surrounding retina. The AF material appears to settle inferiorly and puncta of enhanced intensity are also apparent. (B) Near-infrared reflectance gives the impression of a lesion with three-dimensionality. (C) In the color image the yellow material of the lesion gravitates somewhat inferiorly. (D) Spectral-domain OCT. Horizontal axis and extent of the scan are indicated by green arrow in (A). A dome-shaped lesion is revealed; the hyporeflective component is consistent with fluid accumulation. At the edge of the lesion, hyperreflective bands assignable to the OLM, ISe, and eOS exhibit an abrupt departure from their alignment with the RPE/BM and follow the upper contours of the lesion. Within the lesion, the eOS band is disorganized and has reduced reflectivity and the ONL is thinned. Immediately outside the AF border, the eOS band is thickened.