The Retina Reference

Basal Laminar Drusen

This set of fundus images shows the typical changes of basal laminar drusen in a 27 year old black woman. A - The basal laminar drusen (also called cuticular drusen) are discrete round lesions of 25-75 microns diameter. There can be round areas lacking these lesions, and they can coalesce into larger yellow lesions. B - The fluorescein angiogram shows a picture described as a starry-sky appearance with hyperfluorescent spots corresponding to the drusen. C - A radial line scan from the spectral domain OCT shows deposits (yellow arrow) underlying the retinal pigment epithelium.