Sudden Macular Distortion in a Middle-aged Woman

A 40-year-old woman presented with decreased vision and metamorphopsia in her left eye since 3 weeks ago. She had no history of systemic disorders and drug history was unremarkable. Best corrected visual acuity (BCVA) was 10/10 and 8/10 in her right and left eyes, respectively and afferent pupillary defect was negative. Anterior segment examination and intraocular pressure were normal. On fundus examination, a small area of subretinal fluid accumulation was noted in the foveal region of the left eye which was confirmed by optical coherence tomography (OCT). Figures 1 and 2 respectively represent the fluorescein angiography (FA) and OCT images at presentation. A single injection of intravitreal bevacizumab (IVB, 1.25mg) was administered and two weeks afterwards, visual acuity increased to 10/10 and metamorphopsia significantly improved. OCT images (2 and 4 weeks after the IVB injection) together with FA (4 weeks after the injection) and indocyanine green angiography results (5 weeks after the injection) are demonstrated in figures 3 to 6.