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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 photography of the left macula. There is a whitish discolouration to the surface of the retina and an avoid appearance to the fovea.

Case 28

Figure 1. Colour fundus photography of the left macula. There is a whitish discolouration to the surface of the retina and an avoid appearance to the fovea.

Author: James Leong     Editor: Adrian Fung

A 60-year-old female was referred with an incidental finding at her left macula.

Case history

A 60-year-old Asian female was referred with incidental findings at her left macula found on routine examination. She denied blurred vision or metamorphopsia. She had no significant past ocular history and her medical history included hypertension only. Her optometrist had noted changes at the left macula and referred her for a further opinion and management.

On examination her visual acuity was 6/6 bilaterally and intraocular pressures were normal. Anterior segment examination was unremarkable. There were posterior vitreous detachments in both eyes. Posterior segment examination demonstrated a left epiretinal membrane, loss of the normal foveal reflex and a dark ovoid area at the fovea. Peripheral retinal examination did not demonstrate a retinal tear or significant pathology.

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