We read with interest the case report by Recchia et al1 in the November 2002 issue of the ARCHIVES. The authors described a novel approach using ocular coherence tomography to confirm a clinical diagnosis of foveal hypoplasia in a systemically healthy 45-year-old woman with reduced vision, absent foveal reflexes, nystagmus, corneal pannus, high myopia, temporally dragged retinal vessels, lightly pigmented fundi, and exotropia since childhood.