Abstract

A 61-year-old female with congenital rubella and deafness presented for age-related macular degeneration. Ultrawide-field colour scanning laser ophthalmoscopy (A) revealed salt-and-pepper retinopathy with macular hypopigmentation and peripheral hyperpigmentation. On retroillumination (B), the hypopigmentation appeared hyperreflective, whereas the hyperpigmentation appeared hyporeflective. Both areas showed similar mottling on autofluorescence (C). Optical coherence tomography (D) showed focal areas of retinal pigment epithelium thickening centrally.

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