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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 yellow deposits at the left macula and a pale left optic disc.

Case 14

Figure 1. Colour fundus photographs showing yellow deposits at the left macula and a pale left optic disc.

Author and Editor: Adrian Fung

A 13-year-old girl was referred with a three month history of seeing “black spots” in her left vision.

Case history

A 13-year-old emmetropic Caucasian girl was was referred by her optometrist after noticing “black spots” in her left vision over the last 3 months. This was first noticed when she closed her right eye to look through a camera viewfinder. She had no significant past ocular history and was otherwise healthy. She denied recent overseas travel and admitted to having three pet cats.

Blood pressure was 128/104mmHg. Visual acuities were 6/5 in the right eye (OD) and 6/15 in the left eye (OS). Fundus examination demonstrated yellow deposits at the left macula with a pale optic disc. (Figure 1). There was no intra-ocular inflammation. The right fundus was normal.

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