Case 5: Optomap® plus with Resmax FAF OD and OS
The AF Bull’s Eye Maculopathy above is quite symmetric and could represent a retinal toxicity, a cone degeneration or an early cone- rod degeneration. Flash ERGs were performed and were normal under all conditions, effectively ruling out a cone or a cone-rod degeneration. The findings are rather typical of plaquenil toxicity RR #2 but the patient has never been on plaquenil.
Could this be Accutane toxicity? An extensive literature review yielded only one such similar case6. If follow-up fails to reveal progression, Accutane toxicity rather than a cone degeneration is the probable diagnosis. Regardless, this case is exemplary of many others in which AF reveals abnormalities not detected with ophthalmoscopy or any traditional type of fundus photography. Follow up will be presented in another RR. Stay tuned!!