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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 demonstrating perimacular flecks at both maculae.

Case 46

Author: James Leong     Editor: Adrian Fung

Figure 1. Colour fundus photography demonstrating perimacular flecks at both maculae.

A 35-year-old male was referred for an opinion regarding incidental bilateral macular findings.

Case history

A 35-year-old asymptomatic mild myope was referred with bilateral macular findings. The patient had a history of renal failure requiring renal transplant and immunosuppression. On examination his visual acuities were 6/9 bilaterally and intraocular pressures were normal. Both corneae were clear and there were no cataracts. Posterior segment examination demonstrated a bilateral perimacular fleck retinopathy (Figure 1 and 2).

Multicolour image showing the flecks in more detail.

Figure 2. Multicolour image showing the flecks in more detail.

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