Abstract
We present the rare case of a 67-year-old male patient, with a history of stunted cardiopathy of unknown etiology especially without associated cardiovascular risk factors, who presented a progressive bilateral visual loss. The best corrected visual acuity was 1/10 on both eyes with normal anterior segment and intra-ocular pressure. Fundus examination showed angioid streaks with bilateral macular neovascular membrane more severe in the right eye. The macular optical coherence tomography showed choroidal neovessels associated with intra-retinal cystoid macular edema in both eyes. A skin examination revealed an advanced pseudoxanthoma elasticum undiagnosed, which is at the origin of the angioid streaks with macular neovascularization, and most likely the cardiopathy.
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