C. A., a mulatto woman aged 23, first came to my clinic at the Episcopal Eye, Ear and Throat Hospital in October 1932. She complained of aching of the eyes after reading. The visual acuity was 20/20—2 in each eye. In each macular region was found an oval, golden yellow area over which the retinal vessels passed (fig. 1). There were corresponding relative central scotomas (fig. 2). In addition, there was a similar but smaller area in the right eye, about one-sixth the size of the disk, above and adjacent to the superior temporal artery, 2 disk diameters from the disk (fig. 1). Two weeks later the vision was reduced to 20/100 in the right eye and 20/70 in the left. (All visual acuities given here are with correction.) There was no change in the appearance of the lesions described.
The personal and family history were irrelevant.
In January 1933,