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Photo Essay
October 2004

Five-Year Evolution of Basal Laminar Drusen Combined With VitelliformMacular Detachment

Arch Ophthalmol. 2004;122(10):1566. doi:10.1001/archopht.122.10.1566

A 56-year-old woman was referred for multiple, small, uniform-size drusen.Fluorescein angiography showed a "stars-in-the-sky" pattern (Figure 1), typical of basal laminar drusen. Documentation of thedisease over 5 years showed a progressive appearance of vitelliform maculardetachment that slowly disappeared, whereas geographic atrophy spread. Visualacuity declined from 20/20 to 20/40, but the patient could not read withoutlow-vision aids.

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