Case #28 – Chorioretinal Lacunae

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Case 2: RNFL Measurements OU with Cirrus™ HD-OCT The RNFL is somewhat attenuated nasally in the affected left eye for unexplained reasons.

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Case 2: Cirrus™ HD-OCT Maculae Thickness Measurements OU For unexplained reasons, both maculae reveal areas of thinning as depicted in red

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Case 2: Cirrus™ HD-OCT Horizontal 5-Line Raster Scan Images OS An OCT section through the lesion reveals the retinal layers surrounding the lesion are intact and normal, but as they progress towards the lesion several of the outer retinal layers "collapse". Multiple retinal layers are absent throughout

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Case 2: Cirrus™ HD-OCT Horizontal Single Line Raster Scan Images OD A horizontal OCT section through the macula reveals an intact PIL which correlates to the near normal VA. The external limiting membrane (ELM) is also well visualized.

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Case 2: Zeiss FF450plus Color Fundus and Autofluorescence Camera* Comparison of Left Eye Note the hypoautofluorescent zone occupies nearly the entire area of the largest retinal lesion. * VISUPAC 481 ZK5 and Pike 145

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Case 2: Zeiss FF450plus Color Fundus and Autofluorescence Camera* Comparison of Left Eye * VISUPAC 481 ZI45 and Pike 145

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Case 2: Zeiss FF450plus Color Fundus and Autofluorescence Camera* Comparison of Left Eye The hypoautofluorescent zones corresponded to the retinal lesions. These are due to the low levels of lipofuscin secondary to the absent RPE cells. * VISUPAC 481 ZK5 and Pike 145

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Case 2: Zeiss FF450plus Autofluorescence Fundus Camera* Image of Right Eye Multiple zones of hypoautofluorescence throughout the fundus were revealed with FAF. * VISUPAC 481 ZK5 and Pike 145

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