PMC3817054_01
(A and B) Fundus photographs showing yellowish, oval-shaped drusenoid-like lesion with attenuation of the foveal reflex in both eyes. (C and D) Red-free fundus photographs showing heterogeneous foveal lesions. (E and F) Fluorescein angiogram showing early foveal hyperfluorescence with late ill-defined leakage in right eye and left eye, respectively. (G and H) Autofluorescence photos showed heterogeneous hyperfluorescence in the macula of both eyes.. Note: A,C,E, and G are right eye; B,D,F, and H are left eye.
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Fundus examination showed bilateral, yellowish, oval-shaped, drusenoid-like lesions with attenuation of the foveal reflex (Figure 1A and B). F); and autofluorescence images showed heterogeneous hyperfluorescence in the macula of both eyes (Figure 1G and H). Finally, a computerized 10-2 visual field threshold test (Humphrey Automated Perimeter; Humphrey Instruments, San Leandro, CA, USA), showed small pericentral scotomata in the right eye and a normal field in the left eye.
Optical coherence tomography. (A and B) Disruption of the outer retinal layers with nonspecific retinal thickening in both eyes at presentation. (C and D) Disruption of the inner segment/outer segment junction in both eyes, at 3 months after presentation.. Note: A and C are right eye; B and D are left eye.
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The hyperreflective line representing the inner segment/outer segment junction was disrupted in the right eye and the left eye (Figure 2C and D).