Case 2: Autofluorescent Fundus Image OS

In Best vitelliform macular dystrophy, the lesion is normally hyperautofluorescent in the early stages due to the accumulation of lipofuscin between the RPE and neurosensory retina.⁶ As the disease progresses and atrophy of the RPE occurs, the lesion becomes hypoautofluorescent often with surrounding areas of hyperautofluorescence.⁶