Figure 1: Baseline fluorescein angiogram and OCT. (a) Fundus photographs of the right and left eyes show findings consistent with radiation maculopathy including cotton wool spots, intraretinal hemorrhages, microvascular abnormalities, and lipid exudates. Note the patient’s foveal hemorrhage (arrowhead) and prominent telangiectatic vessels (arrows). (b) SDOCT of the patient’s right and left eyes shows prominent cystoid macular edema and subretinal fluid. (c) Fluorescein angiograms of the right and left eyes demonstrate macular ischemia, focal and diffuse macular edema, and microangiopathic changes. There is more prominent macular ischemia in the left eye.