2 Years and 5 Months After Onset |
73 |
2 Years and 5 Months After Onset
Fig. 4.32 (a, b) Survey, 2 years |
a |
|
and 5 months after symptom |
||
|
||
onset. (a) Many of the rounded |
|
|
light-reflecting subepithelial |
|
|
opacities/infiltrates contain a |
|
|
strongly light-reflecting spot |
|
|
(arrows). (Composed photo- |
|
|
graph.) (b) With fluorescein, |
|
|
the epithelial surface appears |
|
|
intact but in places elevated |
|
|
(dark; bowed arrow). The upper |
|
|
light-reflecting spot seems |
|
|
pigmented. The area in frame is |
|
|
shown at higher magnification |
|
|
in Fig. 4.33. (The black arrows |
|
|
are placed in corresponding |
|
|
locations) |
|
b
2 years 5 months
a |
c |
b
Fig. 4.33 (a–c) The area indicated by frame in Fig. 4.32 shows (a) a few rounded/abnormal cells (arrowheads) and dark spots (arrows). (b) With fluorescein is visible a surface elevation (dark; bowed arrow). (The black arrows are placed in corresponding locations). In (c) is visible another area showing rounded/abnormal cells (arrowheads) and a dark spot (arrow). For further examples captured at the same occasion see Fig. 4.34 (overleaf)
74 4 The Development of Subepithelial Infi ltrates: A Sequence of Events
2 Years and 5 Months After Onset (cont.)
a 2 years 5 months b
Fig. 4.34 Inset: Survey, captured 2 years and 5 months after symptom onset in an area different from that shown in Fig. 4.32; it shows several rounded light-reflecting subepithelial opacities/infiltrates some of which contain a dense light-reflecting spot (arrows). The area in frame is shown at higher magnification in (a) and (b). (a) The light-reflecting spots (arrows) are slightly pigmented (brownish). (b) With fluorescein, the surface appears preserved. The bowed arrow indicates a surface elevation (dark). (The black arrows are placed in corresponding locations)
2 Years and 8.5 Months, and 3 Years After Onset |
75 |
2 Years and 8.5 Months, and 3 Years After Onset
a |
c |
|
2 years 8.5 months |
b |
d |
e |
Fig. 4.35 (a) Survey, 2 years and 8.5 months after symptom onset. Light-reflecting flecks/subepithelial infiltrates (arrows) are still present. (b) With fluorescein, the surface appears intact. (The arrows are placed in corresponding locations.) (c) At the edges of the fleck indicated by frame in (a) and outside it are visible light-reflecting dots (arrowheads) that might represent rounded/abnormal cells. Such cells are clearly visible in (d) (arrowhead). (d and e) additionally show spots that appear pigmented (arrows)
a |
3 years b |
Fig. 4.36 (a) Survey, 3 years after symptom onset. Light-reflecting subepithelial opacities/infiltrates are still present; some show a strongly light-reflecting spot (arrow). (b) Some of the light-reflecting spots seem pigmented (arrow); visible are also some rounded/abnormal cells (arrowheads)