Case 1 (8 yo son) : Topcon Fundus Photos OD and OS

Case 1(8 yo son): A mother presented with her 3 children on referral. Although her 4 and 5 year old daughters had no visual symptoms and were never evaluated, her 8 yo son complained of progressive reduction of vision at distance and near in both eyes for nearly 3 years. He also complained of some difficulty with color vision and night vision. The mother reported that although 15 ODs and MDs examined her son over this period, none had any organic explanation of his complaints but several hinted at a psychogenic cause. Careful questioning failed to reveal any family history of eye problems or any relevant health disorders.

Best corrected VA was a poor 20/200 in each eye. Fundus photos of the right and left eye of the son are above.