PMC4785709_01
Fundus photography shows optic nerve pallor, retinal blood vessel attenuation, and macular geographic atrophy extending to the peripapillary region with pigmentary clumping
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F1
Dilated examination showed optic nerve pallor, retinal arteriolar attenuation, and a large area of geographic macular atrophy with pigmentary clumping and atrophic patches extending into the peripapillary area [Figure 1].
Fundus autofluorescence shows geographic and patchy hypoautofluorescence also involving the peripapillary area
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F2
Fundus autofluorescence imaging shows geographic patchy hypoautofluorescence [Figure 2].
Optical coherence tomography shows bilateral macular thinning and disruption of the photoreceptor-retinal pigmented epithelium complex with subretinal deposition
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F3
Optical coherence tomography shows thickening of the anterior choroid, basement membrane, retinal pigmented epithelium (RPE) complex with some subretinal deposition, and bilateral macular thinning [Figure 3].
Intravenous fluorescein angiography shows a large area of macular atrophy and peripheral mottling of the retinal pigmented epithelium in both eyes
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F4
Intravenous fluorescein angiography shows a large area of macular atrophy as well as some peripheral mottling of the RPE [Figure 4].
Audiogram demonstrates a downward slope indicating loss of sensitivity at high frequencies associated with presbycusis
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F5
These findings are consistent with presbycusis [Figure 5].