case_images: PMC4785709_01
case_images: Fundus photography shows optic nerve pallor, retinal blood vessel attenuation, and macular geographic atrophy extending to the peripapillary region with pigmentary clumping
case_images: OJO-9-49-g001.jpg
case_images: PMC4785709_01_OJO-9-49-g001.jpg
case_images: F1
case_images: Dilated examination showed optic nerve pallor, retinal arteriolar attenuation, and a large area of geographic macular atrophy with pigmentary clumping and atrophic patches extending into the peripapillary area [Figure 1].
case_images: Fundus autofluorescence shows geographic and patchy hypoautofluorescence also involving the peripapillary area
case_images: OJO-9-49-g002.jpg
case_images: PMC4785709_01_OJO-9-49-g002.jpg
case_images: F2
case_images: Fundus autofluorescence imaging shows geographic patchy hypoautofluorescence [Figure 2].
case_images: Optical coherence tomography shows bilateral macular thinning and disruption of the photoreceptor-retinal pigmented epithelium complex with subretinal deposition
case_images: OJO-9-49-g003.jpg
case_images: PMC4785709_01_OJO-9-49-g003.jpg
case_images: F3
case_images: Optical coherence tomography shows thickening of the anterior choroid, basement membrane, retinal pigmented epithelium (RPE) complex with some subretinal deposition, and bilateral macular thinning [Figure 3].
case_images: Intravenous fluorescein angiography shows a large area of macular atrophy and peripheral mottling of the retinal pigmented epithelium in both eyes
case_images: OJO-9-49-g004.jpg
case_images: PMC4785709_01_OJO-9-49-g004.jpg
case_images: F4
case_images: Intravenous fluorescein angiography shows a large area of macular atrophy as well as some peripheral mottling of the RPE [Figure 4].
case_images: Audiogram demonstrates a downward slope indicating loss of sensitivity at high frequencies associated with presbycusis
case_images: OJO-9-49-g005.jpg
case_images: PMC4785709_01_OJO-9-49-g005.jpg
case_images: F5
case_images: These findings are consistent with presbycusis [Figure 5].