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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 photographs demonstrate alteration of the foveal reflex with loss of transparency temporal to the maculae, more evident in the right eye.

Case 45

Figure 1. Colour photographs demonstrate alteration of the foveal reflex with loss of transparency temporal to the maculae, more evident in the right eye.

Author: Raj Chalasani     Editor: Adrian Fung

A 51-year-old male was referred with distortion and reduced vision in his right eye.

Case history

A 51-year-old male was referred from his optometrist with distortion and reduced vision in his right eye over 4 weeks. Best corrected visual acuities were 6/9 in the right eye (OD) and 6/6 in the left eye (OS). Intraocular pressures were 15mmHg in both eyes. Examination of the anterior segment was normal. Examination of the right macula revealed an altered foveal reflex with slight loss of retinal transparency temporal to the fovea (Figure 1). Similar but more subtle changes were evident in the left eye.

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