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Here you’ll find interesting cases of eye conditions along with news and developments in the ophthalmology world.

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Colour fundus photograph of the left eye demonstrates well defined flat pigmented lesions nasal to the optic nerve.

Case 36

Figure 1. Colour fundus photograph of the left eye demonstrates well defined flat pigmented lesions nasal to the optic nerve.

Author: Michael Chilov     Editor: Adrian Fung

A 14-year-old boy was referred by his optometrist with unusual areas of fundus pigmentation in his left eye.

Case history

A 14-year-old boy was referred by his optometrist, who had noted areas of abnormal fundus pigmentation in his left eye. His ophthalmic history was unremarkable and this had been his first formal eye examination. There was a past medical history of mild eczema.

Visual acuity was 6/6 in the right eye (OD) and 6/6- in the left eye (OS). The anterior segment examination was unremarkable. There was no cataract. Intraocular pressures were OD 14mmHg and OS 15 mmHg. Fundus examination of the left eye demonstrated groups of well-defined areas of pigmentation throughout the retina in the left eye (Figure 1). These were not elevated and blood vessels could be seen running smoothly over the top of some of the lesions.

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