A 14-year-old female patient was assessed after abnormal retinal lesions in both eyes were detected on a routine examination. Her unaided visual acuity was 20/20 OU, and she had no history of nyctalopia. A dilated fundus examination revealed multiple discrete subretinal yellow flecks in the right and left eyes (Figure, A). The lesions were distributed throughout the retina, sparing the region around the optic disc and macula. Short-wave autofluorescence (532 nm) revealed hyperautofluorescence from the flecks (Figure, B). Her color vision (per an Ishihara test), visual fields, and electroretinogram results were normal.
Gupta S, Jain S, Kumar V. Benign Familial Fleck Retina. JAMA Ophthalmol. 2019;137(8):e185539. doi:10.1001/jamaophthalmol.2018.5539
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