This 65 year old woman has had subnormal acuity, microcephaly and mildly reduced intelligence since childhood. As a child, she had "puffy feet."

The clinical features supporting the diagnosis of "microcephaly-chorioretinopathy-lymphedema" (MCL) syndrome in this patient include: a pigmented chorioretinopathy extending from the macula to the inferonasal periphery of both eyes; microcephaly; stable subnormal intelligence; subnormal acuity; and, a history of puffy feet as a child.