RPE

Two incidental findings, one routine sight test

A 64-year-old woman is referred with an abnormal right macular OCT. The findings are diagnostic of torpedo maculopathy - a rare congenital RPE anomaly. An incidental longstanding peripheral retinal tear is also identified in the left eye, requiring no treatment.

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A vitelliform-like lesion and the pattern that gives it away

A 77-year-old woman is referred with a vitelliform-like left macular lesion on OCT. Near-infrared fundus imaging of both eyes reveals a characteristic cruciform pigment pattern - diagnostic of butterfly-shaped pattern dystrophy, and a reminder that the image beside the OCT is sometimes the most important one.

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