1. History
  2. Exam
  3. Photos
  4. Diagnosis
  5. Teaching Points
  6. Comments

Case 143 Photos

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Fundus Photographs

Case 143 Image 1

OD

Scalloped loss of the retinal pigment epithelium and choroid (Box A) and attenuated arterioles (yellow arrows). Sparing of the macula.

Case 143 Image 2

OD, Box A

Scalloped loss of the retinal pigment epithelium and attentuated arterioles (arrow)

Case 143 Image 3

OS

Scalloped loss of the retinal pigment epithelium and choroid (Box B) and attenuated arterioles (arrows). Sparing of the macula.

Case 143 Image 4

OS, Box B

Scalloped loss of the retinal pigment epithelium and attenuated arteriole (arrow)

Goldmann Visual Fields

Case 143 Image 5

OD

Case 143 Image 6

OS

Goldmann visual fields OD and OS were performed and showed contracted isopters to the 1 mm target (black lines) to 10 degrees centrally in both eyes. There were relatively full fields to the 3 mm (green lines) and 5 mm (red lines) targets, but there were numerous scotomas throughout the visual field.

Electroretinograms

Case 143 Image 7

Dark-adapted electroretinograms are essentially non-recordable (top row). The bright-flash dark-adapted electroretinograms have decreased b-wave amplitudes (bottom row) (OS 55.5, OD 99.0)

Case 143 Image 8

Light-adapted electroretinogram shows attenuation of the photopic response. The left eye has a b-wave amplitude of 19.4 uV while the right eye has a b-wave amplitude of 29.4 uV.

Last Modified: Tuesday, 30-Sep-2008 15:33:49 EDT