case_images: PMC3806677_01
case_images: Color photographs (a, b) show bilateral asymmetric irregular diffuse hypopigmented macular changes associated with focal hyperpigmented areas. A radial pattern of hyperautofluorescence was seen in the short-wavelength fundus autofluorescent images (c, d), consistent with butterfly-shaped macular pattern dystrophy. These lesions were associated with hypoautofluorescent patches corresponding to the areas of RPE hypertrophy.
case_images: cop-0004-0129-g01.jpg
case_images: PMC3806677_01_cop-0004-0129-g01.jpg
case_images: F1
case_images: Dilated fundus examination was remarkable for macular pigmentary changes with multifocal yellowish depigmented patches within the macular area in both eyes (fig. 1). Fundus autofluorescence highlighted a branching linear pattern of mixed hyper- and hypoautofluorescence limited to the macular area in both eyes (fig. 1).
case_images: The near-infrared fundus autofluorescence images (a, b) show a radial hyperautofluorescent pattern overlying a hypoautofluorescent background (butterfly-shaped macular pattern). Spectral-domain optical coherence tomography scans (c-f) reveal the presence of a diffuse subretinal hyperreflective material replacing the normal interdigitation zone with adjacent areas of mottled disruption of the outer retinal layers and focal hyperreflective subretinal deposits consistent with acquired vitelliform deposits.
case_images: cop-0004-0129-g02.jpg
case_images: PMC3806677_01_cop-0004-0129-g02.jpg
case_images: F2
case_images: No subretinal or intraretinal fluid was found in association with the deposits (fig. 2).