PMC5465797_01
Examination findings in a 37-year-old man with a 3-year history of decreased vision in the right eye. a, b Fundus photographs of the right and left eye showing retinal flecks, scattered macular atrophy and partial bull's eye maculopathy which is worse in the right eye. c, d Fluorescein angiogram of the right and left eye revealing a "silent" choroid, hyperfluorescent retinal flecks and partial bull's eye maculopathy which is worse in the right eye. e, f Right-eye OCT showing loss of outer retinal layers and photoreceptors. g, h Left-eye OCT illustrating loss of outer retinal layers and photoreceptors with partial central sparing.
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Anterior segment examination showed no abnormalities, and fundus examination (Fig. 1a, 1b) revealed scattered atrophy and pisciform fundal flecks at both maculae, which were worse in the right eye. Fluorescein angiography (Fig. 1c, 1d) demonstrated a silent choroid and partial bull's eye maculopathy which was worse in the right eye. Optical coherence tomography (OCT) (Fig. 1e-h) showed loss of photoreceptors at both maculae with partial central sparing in the left eye.