Vitelliform

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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A vitelliform lesion with a vascular clue

An 87-year-old woman is referred urgently with a working diagnosis of vitelliform macular dystrophy and dot and blot haemorrhages. OCT and careful fundus interpretation point instead to a single unifying diagnosis: an old superotemporal BRVO with secondary ERM and an acquired vitelliform lesion at the fovea.

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