PMC3583086_01
Ophthalmoscopy of the right and left eye of Case 1, showing a normal macula with a slight reduction of the foveal reflex (a, c). SD-OCT showed a maintained foveal contour, juxtafoveal microcystic cavities in the outer retina, increased foveal rod-shaped full-thickness hyperreflectivity that extended from the outer segments of the photoreceptors and RPE to the inner layer of the retina, and a slight interruption of the external limiting membrane and of the inner and outer segment (IS/OS) junctions, with disorganized material in the "vitelliform space" (b, d).
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fig1
On dilated fundus examination, the foveal reflex was reduced and small yellowish juxtafoveal lesions were observed (Figures 1(a) and 1(c)). SD-OCT using a (Topcon America, Paramus, NJ, USA) showed a maintained foveal contour, juxtafoveal microcystic cavities in the outer retina, increased foveal rod-shaped full-thickness hyperreflectivity that extended from the outer segments of the photoreceptors and RPE to the inner layer of the retina, and a slight interruption of the external limiting membrane and of the inner and outer segment (IS/OS) junctions, with disorganized material in the "vitelliform space" (Figures 1(b) and 1(d)).
PMC3583086_02
The color fundus of the right and left eyes showed a reduced foveal reflex (a, c). SD-OCT detected increased foveal rod-shaped full-thickness hyperreflectivity that extended from the outer segments of the photoreceptors and the RPE to the inner layer of the retina and interruption of the external limiting membrane and of the IS/OS junction, bilaterally (b, d).
CRIM.OPHMED2013-906920.002.jpg
PMC3583086_02_CRIM.OPHMED2013-906920.002.jpg
fig2
On dilated fundus examination, the foveal reflex was abnormal and RPE changes were detected at the fovea (Figures 2(a) and 2(c)). SD-OCT showed a maintained foveal contour, absence of vitreoretinal traction, increased foveal rod-shaped full-thickness hyperreflectivity that extended from the outer segments of the photoreceptors and the RPE to the inner layer of the retina, and interruption of the external limiting membrane and of the IS/OS junction, bilaterally (Figures 2(b) and 2(d)).