Pattern Dystrophy Associated with Bilateral Submacular Fluid
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Pattern dystrophies are a group of inherited macular disorders that include adult-onset foveomacular vitelliform dystrophy, butterfly-shaped macular dystrophy, reticular dystrophy of the retinal pigment epithelium (RPE), and fundus pulverulentus.They characterized by the deposition of yellow-orange-grayish materials above the RPE.Pattern macular dystrophy is usually diagnosed in middle-aged asymptomatic patients whose visual acuity remains normal or near normal for most of their lives.The diagnosis is mainly clinical, based on the classic "pattern" appearance of the fundus. Multimodal imaging including specific autofluorescence and angiographic characteristics of the macula is used to confirm the diagnosis and evaluate for complications. Generally, dark adaptation, color vision, visual field and electroretinogram (ERG) are normal and the electrooculogram (EOG) may be normal or subnormal.Hereby, we report a patient with typical characteristics of pattern macular dystrophy presenting with bilateral subretinal fluid.

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