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A 56-year-old man with a unilateral central scotoma
Digital Journal of Ophthalmology 2021
Volume 27, Number 3
September 27, 2021
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Khushali Shah, BA | University of Miami Miller School of Medicine, Miami, Florida; Bascom Palmer Eye Institute, Miami, Florida
Benjamin J. Fowler, MD, PhD | Bascom Palmer Eye Institute, Miami, Florida
Benjamin Lin, MD | Bascom Palmer Eye Institute, Miami, Florida
Kara M. Cavuoto, MD | Bascom Palmer Eye Institute
Jayanth Sridhar, MD | Bascom Palmer Eye Institute, Miami, Florida



Examination
On initial examination, best-corrected visual acuity was 20/70 in the right eye and 20/25 in the left eye. Intraocular pressure, extraocular motility, and pupillary light reactions were normal. External slit-lamp examination was normal in both eyes. Confrontational visual field testing revealed a central scotoma in the right eye. Posterior pole examination was significant for a perifoveal yellow retinal lesion with pigment mottling in the inferior macula, also seen on fundus photographs (Figure 1A).
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Figure 1.
 A, Color fundus photograph of the right eye. B, Fluorescein angiogram of the right eye (5:09 minutes).


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