Pattern Dystrophy of the Macula

Fundus photos of a 37 year old female, presenting for yearly evaluation of macular pattern dystrophy. Below, the top two frames show a A near infrared reflectance picture of pattern dystrophy, with pigment flecks scattered throughout both maculas (red arrows). The bottom frames are fundus autoflouresence photographs. The areas of hyperautofluorescence (red arrows) indicatie cells with excess lipofuscin which is metabolic debris associated witht the daily turnover of photoreceptor outer segment discs. The green arrows, which show darker spots throughout the macula, indicate pigment epithelial cells that have atrophied. At this visit, the visual acuity was 20/25 bilaterally.