DOI: 10.36347/sjmcr.2016.v04i02.020

Pages: 125-127

We present a case of adult-onset foveomacular vitelliform dystrophy (AFMVD) in a 73-year-old man. Fundus examination revealed subretinal depositions of yellowish material within themacula in both eyes. During the 6-month follow-up period, the best corrected visual acuity (BCVA) in the right eye gradually deteriorated from 0.9 to 0.5. On optical coherence tomography (OCT), vitelliruptive degeneration and disruption of the photoreceptor inner segment/outer segment interface (ellipsoid zone) gradually developed in the right eye. We speculate that progression in the ellipsoid zone status and changes in lesion reflectivity were accompanied by a significant BCVA reduction between the initial and last visits.