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Thanks to its natural-looking colors, the TrueColor image provides a clear visualization of the yellow yolk-like lesion in the macula, typical of bestrophinopathy.
The fundus of the patient is characterized by stretched retinal vessels and a peripheral ischemic area, treated with photocoagulation.
The image provides a sharp view of the epiretinal membrane, which appears like cellophane and causes traction and puckering of the retina.
Fibrinoid necrosis of choroidal arterioles led to segmental infarction of choriocapillaris, which caused Elschnig spots and Siegrist streaks.
The two images highlight some typical fundus manifestations of Stargardt disease, including pigment mottling, macular atrophy, a bull’s eye maculopathy and autofluorescent flecks.
The FA image shows extensive peripheral microvascular dropout with ischemia and leakage from multiple foci of neovascularization.