case_images: PMC4404870_01
case_images: Fundus imaging.. Notes: (A) Color fundus photograph (Topcon TRC 50EX), (B) red free imaging (Heidelberg Spectralis), (C) infrared imaging (Heidelberg Spectralis), and (D) fundus autofluorescence (Heidelberg Spectralis).
case_images: opth-9-645Fig1.jpg
case_images: PMC4404870_01_opth-9-645Fig1.jpg
case_images: f1-opth-9-645
case_images: Dilated fundus examination revealed numerous yellow-white retinal deposits and multifocal areas of RPE atrophy in the mid-peripheral fundus of both eyes (Figure 1A). IR imaging demonstrated an increased number of crystals compared with color fundus photography and red free images (Figure 1B and C). Fundus autofluorescence was helpful in highlighting areas of RPE atrophy, which correlated with window defects on fluorescein angiography, but failed to demonstrate crystalline deposits (Figure 1D).
case_images: Spectral domain optical coherence tomography images of both eyes through the retinal crystals.. Notes: The yellow arrows demonstrate the location of the crystals in the retina in a region of preserved outer retina (upper panel) and atrophic outer retina (lower panel).
case_images: opth-9-645Fig2.jpg
case_images: PMC4404870_01_opth-9-645Fig2.jpg
case_images: f2-opth-9-645
case_images: Line scans demonstrated hyper-reflective lesions at different layers of the retina (Figure 2).