PMC5340088_01
Color fundus image of both eyes that show white discolorations in the fovea
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F1
A color fundus image disclosed a small round whitish discoloration in the fovea of both eyes (Figure 1 (Fig. 1)).
SD-OCT image of both eyes: orange arrows point to streaks of increased reflectivity at the sclera and above it in the choroid.
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F2
A discrete discontinuity in the inner and outer segment junction (IS/OS), cone outer segment layer (COST), and retinal pigment epithelium layer (RPE) in the fovea of both eyes was noted on SD-OCT along with a streak of increased reflectivity in the choroid and sclera corresponding in size and location to the whitish discoloration on the color fundus image probably caused by focal RPE atrophy (Figure 2 (Fig. 2)).
Short-wavelength fundus autofluorescence (SW-FAF) images of both eyes: no changes visible
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F3
No changes were found on short-wavelength fundus autofluorescence (SW-FAF) (Figure 3 (Fig. 3)).
Near-infrared fundus autofluorescence images (NIA) of both eyes: clearly visible hypoautofluorescent spots in the fovea
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F4
However, on near-infrared fundus autofluorescence (NIA) small spots of hypoautofluorescence in both maculae corresponding in location to the white discoloration in the color fundus image and the IS/OS to RPE layer retinal layer disruption on SD-OCT were found (Figure 4 (Fig. 4)).