Here you’ll find interesting cases of eye conditions along with news and developments in the ophthalmology world.

Cases are presented as an initial image with history and examination. Health practitioners are encouraged to deduce the condition, before further investigations, diagnosis and management are presented.

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Colour fundus photographs showing subtle yellow dots at both foveae, larger on the left.

Case 13

Figure 1. Colour fundus photographs showing subtle yellow dots at both foveae, larger on the left.

Author: Michael Chilov     Editor: Adrian Fung

A 39-year-old man was referred with gradual loss of vision in both eyes noted over the last six months.

Case history

A 39-year-old male information technology professional was referred by his general ophthalmologist with gradual bilateral vision loss noted over the last six months.

The patient was a mild myope. He had been seen by his optometrist one month prior with no change in refraction noted. He had a four year history of human immunodeficiency virus (HIV), with no antiretroviral treatment required due to his low viral load and high CD4 count. He did not take any medications. He was an occasional smoker and denied recreational drug use. There was a family history of advanced age-related macular degeneration with both maternal grandparents having suffered from the condition.

Visual acuities were 6/15 in the right eye (OD) and 6/18 in the left eye (OS). Refraction was -2.25DS (OD) and -2.25/-0.50×168° (OS). Fundus examination demonstrated subtle yellow dots at both foveae, larger on the left (Figure 1). The posterior hyaloids were still attached in both eyes and the optic discs and retinal vessels were normal. There was no intra-ocular inflammation.


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