Case | Age at examination | Visual acuity* | Refraction | Ishihara colour vision test | Macular appearance on funduscopy | Autofluorescence (AF) imaging | Foveal appearance on SD-OCT | |
OD | OS | |||||||
1 | 13 | 0.90 | 1.10 | +5.00/−3.50×165 OD | Test plate only | Granular macular appearance | Abnormal foveal AF; small parafoveal ring of increased AF | Focal disruption of reflective band at IS/OS junction |
+4.50/−3.50×10 OS | ||||||||
2 | 13 | 0.90 | 0.75 | +1.50/+1.00×90 OD | Test plate only | Normal | Parafoveal area of mildly increased AF | Complete loss of photoreceptor layers in the fovea |
+1.50/+1.25×90 OS | ||||||||
3 | 16 | 0.45 | 0.35 | Myopic prescription | Test plate only | Subtle RPE mottling in the fovea | Parafoveal area of increased AF | Focal disruption of reflective band at IS/OS junction |
4 | 18 | 0.25 | 0.25 | Emmetropic | Test plate only | Granular macular appearance | Abnormal foveal AF; small parafoveal ring of increased AF | Focal disruption of reflective band at IS/OS junction |
5 | 18 | 0.20 | 0.30 | −8.50/−0.50×130 OD | Test plate only | Granular macular appearance | Parafoveal area of mildly increased AF | Focal disruption of reflective band at IS/OS junction |
−7.00/−0.75×5 OS | ||||||||
6 | 18 | 0.80 | 0.80 | Emmetropic | Test plate only | Macular atrophy and flecks | Abnormal foveal AF; high density foci around the fovea | Optical gap in the fovea with absent IS/OS junction line |
7 | 20 | 0.80 | 0.80 | Emmetropic | 3/17 | Subtle RPE mottling in the fovea | Parafoveal area of increased AF | Small optical gap with disruption of reflective band at IS/OS junction |
8 | 34 | 0.80 | 0.80 | −12.00/−1.50×180 OD | Test plate only | RPE mottling in the fovea | Parafoveal area of increased AF | Focal disruption of reflective band at IS/OS junction |
−12.50/−1.50×180 OS | ||||||||
9 | 43 | 0.60 | 0.78 | Emmetropic | Test plate only | Normal | Parafoveal area of increased AF | Focal disruption of reflective band at IS/OS junction |
10 | 44 | 1.00 | 1.30 | −2.75/−1.75×50 OD | Unable to see test plate | Macular atrophy | Central loss of AF | Complete photoreceptor layers loss; RPE layer loss |
−5.50 OS | ||||||||
11 | 44 | 0.50 | 0.80 | −9.00/−2.00×180 OD | Test plate only | Subtle RPE mottling in the fovea | Central area of increased AF with surrounding area of reduced signal | Loss of photoreceptor layers in the fovea |
−6.50/−2.00×5 OS | ||||||||
12 | 48 | 1.00 | 1.00 | −3.00/−2.00×160 OD | 2/17 | Macular atrophy | Central atrophy surrounded by ring of increased AF | Complete photoreceptor layers loss; RPE layer loss |
∞/−3.00×30 OS |
↵* LogMAR or logMAR equivalent.
IS/OS, inner segment/outer segment; OD, right eye; OS, left eye; RPE, retinal pigment epithelium; SD-OCT, spectral domain optical coherence tomography.