We describe five unrelated patients in whom the typical signs of fundus albipunctatus were accompanied by colour vision defects, bull's eye or similar macular lesions, and severely diminished full-field cone electroretinograms indicating widespread damage to cones outside the macula. All patients had noticed night blindness from childhood. Signs of retinitis punctata albescens, a disease of similar appearance but with characteristics resembling retinitis pigmentosa, were absent. We cannot be sure whether these patients represent a process of fundus albipunctatus or a distinct disease entity or a casual combination of fundus albipunctatus and cone dystrophy.
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