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Left foot of the patient
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PMC6368810_10_40673_2019_96_Fig1_HTML.jpg
Fig1
He has slightly high feet arches (Fig. 1), but no problems with his feet.
Ultra widefield retinal imaging of the right retina. a Ultra-widefield color fundus image of the patient s right eye showing atrophy of the optic nerve head (black arrow). b Ultra-widefield autofluorescent fundus image of the patient s right eye showing loss of the normal hypofluorescence (darker signal) of the optic nerve (red arrow) due to loss of nerve fibers that leads to window-defect and hyperfluorescence from the underlying sclera. The rest of the ocular fundus shows normal autofluorescent signal, indicating a normal retinal pigment epithelium and photoreceptors. The inserts show corresponding color and autofluorescent findings in a normal, age-matched individual. The images of the left eye were corresponding (not shown here)
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PMC6368810_10_40673_2019_96_Fig2_HTML.jpg
Fig2
Autofluorescence imaging confirms the finding, showing loss of nerve fibers on the optic disc that in normal individuals give darker, hypofluorescent signal and revealing the hyperfluorescent sclera and lamina cribrosa (Fig. 2).
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