Abstract
We present the clinical case of a 28-year-old female patient with a diagnosis of Behcet’s disease and unilateral relapsing ocular involvement in systemic management with infliximab. Optical coherence tomography angiography with swept-source technology (DRI OCT Triton Plus™, Topcon Corporation, Tokyo, Japan) revealed asymmetric compromise between both eyes. Decreased foveal vascular density, asymmetrical foveal avascular zone enlargement at superficial and deep capillary plexuses, and focal areas of hypoperfusion at the deep capillary plexus around the macula with corresponding hyporreflective lesions in the en face slab in the left eye were noted. Swept-source OCT angiography (SS-OCTA) helped identify early asymmetrical microvascular structural alterations compatible with macular ischemia in a patient with systemic manifestations and unilateral ocular compromise.
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