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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 right macula. Prominent choroidal vessels suggests myopia. There is subtle subretinal elevation inferior to the fovea and horizontal white pigmented lines inferotemporally.

Case 40

Figure 1. Colour fundus photography of the right macula. Prominent choroidal vessels suggests myopia. There is subtle subretinal elevation inferior to the fovea and horizontal white pigmented lines inferotemporally.

Author: James Leong     Editor: Adrian Fung

A 28-year-old male was referred with incidental retinal findings in his right eye.

Case history

A 28-year-old high myope was referred with incidental retinal findings in his right eye found on routine examination. He was asymptomatic and denied blurred vision, floaters, photopsia or a peripheral scotoma. He was a contact lens wearer correcting myopia of -7.5D in both eyes. He had no history of previous ocular trauma, surgery or laser. His optometrist noted the retinal changes in the right eye and referred him for a further opinion and management.

On examination his visual acuity was 6/6 bilaterally and intraocular pressures were normal. Anterior segment examination was unremarkable. Posterior segment examination demonstrated a tessellated fundus appearance in both eyes consistent with the high myopia. There was a subtle subretinal elevation inferior to the fovea and horizontal white pigmented lines inferotemporally (Figure 1).

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