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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 photograph of the left eye demonstrates a yellow spot at the fovea.

Case 7

Figure 1. Colour fundus photograph of the left eye demonstrates a yellow spot at the fovea.

Author: James Leong     Editor: Adrian Fung

A 65-year-old male was referred with left reduced visual acuity and macular changes.

Case history

A 65-year-old Caucasian male was referred with a 1-week history of reduced vision and mild metamorphopsia in his left eye. He had previously had a corneal foreign body but there was no other significant past ocular or medical history. There was no history of significant ocular trauma.

Visual acuity was 6/6 in the right eye (OD) and 6/24 (pinhole 6/12) in the left eye (OS). Intraocular pressures were normal and the anterior segment examination unremarkable. Examination of the left macula demonstrated a yellow spot at the fovea (Figure 1). The right macula was normal. Optic nerves were healthy with cup to disc ratios of 0.2 bilaterally. A few fine drusen were present bilaterally but there was no other significant pathology in either eye.

Magnified view of the left temporal pigmented lesion.

Figure 1b. Magnified view of the left temporal pigmented lesion.

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