A 7-year-old male born with a solitary, dysplastic kidney and considered to be in stage 4 chronic kidney disease, presented to the eye clinic with a complaint of blurred vision. The best corrected visual acuity in each eye was 20/30. Anterior and posterior segment examinations were normal except for macular lesions in both eyes (see photos).
The left eye had a classic vitelliform macular lesion while the right eye showed a lesser, nondescript, yellowish foveal lesion surrounded by hyperpigmentation, just below which was a small retinal hemorrhage. Family history revealed no other known affected members and the patient has no siblings. Fundus photographs and OCT images are shown below.
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Why does the os fundus photo appears irregular compared to Od
Hi Omara Alfred Daniel,
Thank you for your question.
The right eye fundus photo is a single photo centered on the macula. The left eye photo is a wide angle collage centered on the optic nerve and created from several different photos pasted together.
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