case_images: PMC6324112_01
case_images: Waardenburg Syndrome (a) External photograph showing telecanthus. Yellow arrow indicates the left heterochromia iridum. (b): Montage Fundus photograph of the left eye. White arrowheads indicate the junction of the hypopigmented choroid and the normal choroid. (c) Montage autofluorescence. Yellow arrowheads indicate the area of hyperautofluorescence
case_images: IJO-67-135-g001.jpg
case_images: PMC6324112_01_IJO-67-135-g001.jpg
case_images: F1
case_images: A 27-year-old Asian-Indian lady, systemically normal, with diffuse iris hypopigmentation, telecanthus, mild synophrys with a congenital white forelock treated with hair color and 20/20 vision in both eyes presented for treatment of the heterogeneous iris color [Fig. 1a]. Fundus examination revealed a sectoral superonasal hypopigmented choroid in the left eye [Fig. 1b]. Fundus autofluorescence revealed hyperautofluorescence through the hypopigmented choroidal region in the left eye [Fig. 1c], indicating unmasking of scleral autofluorescence. Iris and choroidal hypopigmentation are central to all the subtypes [Fig. 1].