Abstract
A 38-year-old female presented with a best-corrected visual acuity of 20/60 N18 and 20/20 N6. Fundus examination showed multiple yellow-white dots and spots at the posterior pole with disc edema and orange-yellow granularity at fovea. Fundus fluorescein angiography showed dots showing punctate hyperfluorescence and spots showing late staining and disc leakage. Optical coherence tomographic macula showed sub foveal hyperreflective elevated lesion on the retina pigment epithelium extending into the inner retina as far as the outer nuclear layer through disruption of inter digitation zone, ellipsoid zone (EZ), external limiting membrane and hyporeflectivity, and disruption of ELM and EZ corresponding to parafoveal lesions (predominantly spots).
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