PMC3350057_01
Color fundus photo montage OD. Exam was remarkable for mild vessel narrowing with areas of hypopigmentation most notable in the superotemporal periphery, although also noted in the inferior/inferonasal periphery. Peripapillary depigmentation (more evident temporally and less extensive than the ring of depigmentation noted OS) is present. Biomicroscopy revealed subtle reddish spots, not consistent with hemorrhage, within areas corresponding to the areas of the visual field where he described symptoms. These subtle red spots were most notable in the far inferonasal periphery and are difficult to appreciate in the photos.
CRIM.OPHMED2011-371324.001.jpg
PMC3350057_01_CRIM.OPHMED2011-371324.001.jpg
fig1
Fundus findings are shown. (Figures 1 and 2).
Color fundus photo montage OS. Vessel narrowing with perivenular pigment deposition and surrounding hypopigmentation is noted in the superior periphery. On exam, perivascular pigment deposition was also present in the far inferior periphery (too peripheral to be captured in the photos). Hypopigmentation is also noted in the inferior periphery. A ring of peripapillary depigmentation is evident. Subtle reddish spots (difficult to appreciate in the photos) were noted on biomicroscopy in the far inferior periphery and far superonasal periphery.
CRIM.OPHMED2011-371324.002.jpg
PMC3350057_01_CRIM.OPHMED2011-371324.002.jpg
fig2
Fundus findings are shown. (Figures 1 and 2).