Case of the Week

Date: 30 June 2016
Patient info: Female
Age: 23
Main complaint:
Decrease of VA bilateral over the last 6 months.
Examination:
Vision Best corrected: Right 6/15 Left 6/15
Posterior Segment:
Target lesion of the macula with Lipofuscin level in the lesion.
Special Examination:
Colour photo lipofuscin levels
OCT photoreceptor – loss in fovea
FA show no leakage
Electro physiology shows all within normal range
Differential Diagnosis:
Bests vitelliform dystrophy
Chronic central serous chorioretinopathy
Chloroquine toxicity
Treatment:
Low vision aids
Referred to Retina South Africa