PMC9843462_01
The fundus of the left eye shows numerous white dots located around the optic disc and scattered throughout the posterior pole of the retina. The fovea is orange-yellow with a granular appearance.
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The fovea was yellowish with granularity (figure 1).
Initial optical coherence tomography (OCT) shows increased foveal thickness in the left eye and areas of disruption of the ellipsoid zone.
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The OCT examination of the right eye showed a normal configuration of the macula, but the left eye showed pathological findings - appearing as a multifocal nodular thickening in deep layers of the retina as well as areas of disruption of the ellipsoid zone (EZ) throughout the posterior pole (figure 2).
Fluorescein angiography (FA) shows subtle early hyperfluorescence of the dots with late staining.
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FA test showed early punctate hyperfluorescence in a rim-like pattern and late staining in areas corresponding to the white dots (figure 3). 