This 43 year old woman has a chief complaint of reduced visual acuity OU. She first noticed some distortion of her vision in the left eye at age 25. A choroidal neovascular membrane was diagnosed at that time and treated with laser photocoagulation. The right eye developed similar symptoms at age 41.

The clinical features favoring the diagnosis of Sorsby fundus dystrophy in this patient include choroidal neovascularization of the macula in the third decade of life; dark black pigment in the macula with an irregular outline; and, a similarly affected parent.