This 61 year old woman has a chief complaint of mildly reduced visual acuity. She first noticed some distortion of her vision in both eyes at age 50. Her visual acuity was completely normal as a child and young adult.
Correctly identified all 14 pseudoisochromatic plates OU
+0.50 +0.75 x 015
+0.75 +0.50 x 175
The clinical features favoring the diagnosis of autosomal dominant pattern dystrophy in this patient include the large, bright yellow, reticular subretinal deposits, the relatively good visual acuity and the extensive autosomal dominant family history. Autosomal dominant macular dystrophies often have good acuity despite a fairly dramatic fundus appearance.