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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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Fundus photographs reveal bilateral subretinal dark grey concentric and radial lines particularly around the optic nerve heads and maculae.

Case 4

Author and Editor: Adrian Fung

Figure 1a. Fundus photographs reveal bilateral subretinal dark grey concentric and radial lines particularly around the optic nerve heads and maculae.

A 46-year-old Caucasian male saw his optometrist after noticing distortion in his left eye for two months. He was referred with bilateral fundus changes.

Case history

A 46-year-old Caucasian male saw his optometrist complaining of a 2-month history of distortion in his left eye. On dilated fundus photography, bilateral dark grey streaks were noted within the posterior poles. He was referred for further assessment.

There was no significant past ophthalmic or medical history. The patient’s brother was known to have an eye condition, but the diagnosis was unknown by the patient. No medications were being taken.

Visual acuity was 6/3.8 in the right eye and 6/9.5+2 (pinhole 6/6) in the left eye. Anterior segments were normal. On fundus examination, bilateral subretinal dark grey concentric and radial lines were noted particularly around the optic nerve heads and maculae (Figure 1). These were identified as angioid streaks. Temporal to both maculae there was a dimpled appearance to the retina, identified as “peau d’orange” (French, “orange peel skin”; Figure 1b).

Magnified view of the left temporal fundus (rectangle from Figure 1a) reveals “peau d’orange” (French, “orange peel skin”).

Figure 1b. Magnified view of the left temporal fundus (rectangle from Figure 1a) reveals “peau d’orange” (French, “orange peel skin”).

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