AN 80-YEAR-OLD African American woman, who had hypertension, diabetes mellitus, and an asymptomatic, macular lesion in the right eye, was referred to The Wilmer Ophthalmological Institute, Baltimore, Md, for the evaluation of a central retinal vein occlusion in the left eye. The corrected visual acuity was 20/30 OD. Slitlamp examination revealed no evidence of inflammation. A posterior chamber intraocular lens was present with moderate posterior capsular opacification; no vitreous cells were present. A Weiss ring, indicative of a posterior vitreous detachment, was present. Indirect ophthalmoscopy showed a ringlike lesion in the macula that resembled a macular hole (Figure 1, A and B). Examination with a fundus contact lens revealed numerous, almost confluent, white dots that were arranged in a ring around the foveal margin (Figure 1, C). A fluorescein angiography showed no abnormalities (Figure 2).
Fekrat S, Humayun MS. White Dot Fovea in an African American Patient. Arch Ophthalmol. 1998;116(1):110–111. doi:10.1001/archopht.116.1.110
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