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  Indian J Med Microbiol
 

Figure 1: Shows fundus photograph of the patient with human immunodeficiency virus (HIV) and syphilis coinfection with a large temporal macular outer retinal lesion (a). The lesion was yellowish and had an active, fuzzy edges with surrounding edema. There was mild exudation along the lesion inferiorly. Swept-source optical coherence tomography (SS-OCT) line-scan through the macula showed presence of subretinal hyper-reflective material (SHRM) temporal to the foveal dip and intraretinal hyper-reflective dots (yellow dashed square) (b) There was no intra- or subretinal fluid. SS-OCTA showed a large neovascular network underneath the SHRM. There was a surrounding hyporeflective halo around the choroidal neovascularization (CNV) (yellow asterisk), and significant branching and anastomosis within the CNV (white arrowhead). The feeder choroidal vessel was also seen (white arrow) giving it a sea-fan appearance (c)

Figure 1: Shows fundus photograph of the patient with human immunodeficiency virus (HIV) and syphilis coinfection with a large temporal macular outer retinal lesion (a). The lesion was yellowish and had an active, fuzzy edges with surrounding edema. There was mild exudation along the lesion inferiorly. Swept-source optical coherence tomography (SS-OCT) line-scan through the macula showed presence of subretinal hyper-reflective material (SHRM) temporal to the foveal dip and intraretinal hyper-reflective dots (yellow dashed square) (b) There was no intra- or subretinal fluid. SS-OCTA showed a large neovascular network underneath the SHRM. There was a surrounding hyporeflective halo around the choroidal neovascularization (CNV) (yellow asterisk), and significant branching and anastomosis within the CNV (white arrowhead). The feeder choroidal vessel was also seen (white arrow) giving it a sea-fan appearance (c)