West African Crystalline Maculopathy in a Nigerian Woman

A 56-year-old asymptomatic Nigerian woman with diabetes and no known family history of ocular disease presented for routine ocular examination and was found to have yellow highly-refractile crystals clustered in bilateral foveas (Fig 1A; left eye not shown, but similar in appearance). She had no exogenous risk factors for crystalline retinopathy, such as use of cathaxanthine or tamoxifen. OCT through crystals revealed hyperreflective foci (arrow) in the inner retinal layers (Fig 1B). These findings are consistent with a diagnosis of West African crystalline maculopathy, a condition first reported by Sarraf et  al (Sarraf D, Ceron O, Rasheed K, et al.
Source: Ophthalmology - Category: Opthalmology Authors: Tags: Pictures & Perspectives Source Type: research