PMC5643050_01
(a) Increased trabecular pigmentation (b) (c) Zentmayer ring. Pigment accumulated at the zonular attachments to the lens.
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fig1
With regard to PDS, a significant asymmetry was noted with prominent features in the right eye including dense Krukenberg spindle, iris transillumination defects, heavily pigmented trabecula, wide open angle, and Zentmayer ring (Figure 1).
Optical coherence tomography (a) is showing pigment epithelial detachment of the neurosensory retina. Fundus photography (b, c) and fluorescein angiography (d) in the right eye of a 38-year-old male patient. The patient had suffered, to variable degrees, from painless blurred vision, dyschromatopsia, and micropsia for more than 2 years. Fundus abnormalities included an irregular pattern of hypopigmentation of the retinal pigment epithelium, amorphous subretinal deposits, and a shallow serous detachment involving large parts of the posterior pole. These findings are highly suggestive of chronic central serous chorioretinopathy.
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fig2
Small parafoveal areas of hypopigmented retinal pigment epithelium with associated residual subretinal fluid and accompanying drusen were illustrated on colour fundus photographs, fluorescein angiography (FFA), and OCT (Figure 2).