Age Related Macular Degeneration - Reticular Drusen

Fundus Autofluorescence of right and left eye and spectral domain OCT of the right eye of a 76- year old male. Patient presented with referral from his optometrist after finding drusen on a routine eye exam. Upon examination, reticular drusen were found in both eyes. Just superior to both maculas, one can see a pattern of hypofluorescent lesions (shown inside the yellow circles). This area is an area of reticular drusen, also called reticular pseudodrusen and sub retinal drusenoid deposits. Unlike the case of drusen, reticular drusen occur anterior to the retinal pigment epithelium (red arrows). No treatment is needed and he was advised to check his amsler grid daily for changes.