Are you have any idea? | Figure 1

WolfgangRebollo

Ophthalmology Resident

Patient Overview

70 years old man, who came in referring:

He only knows that he has a sister with the same problem.

VA RE 20/70 - LE 20/200

Rx: High myopia
Lens OU: NO2 NC2 P1 by LOCS III

Discussion

Know it’s your turn, what can you see at fundus exam? Should we test him and his sister? We have 2 great differential diagnoses:

  1. Choroideremia
  2. Gyrate Atrophy

Can you think of any other diagnosis? We are waiting for our ocular dystrophies team at the hospital to examine him.