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+A 24-year-old Azeri male presented with a chief complaint of blurred vision in both eyes.
+He was diagnosed with achondroplasia in early childhood.
+He was born at term with normal birth weight.
+There was no history of hereditary ocular or systemic disease.
+This patient had characteristic features of achondroplasia (i.e., short stature, lumbar lordosis, short proximal long bones, large hands, frontal bossing, and flat nasal bridge) [Figure 1].
+His height was 108 cm.
+Best corrected visual acuity was 20/70 in the right eye with −0.75 + 1.25 × 60° and 20/70 in the left eye with OS: +0.25 + 0.50 × 130°.
+Pupils were equal in size, round and reactive to light with no reverse afferent pupillary defect.
+Ocular motility was normal in both eyes and slit lamp examination was unremarkable.
+The intraocular pressure was 12 mm Hg by Goldmann applanation tonometry.
+Central corneal thickness values of the right and left eyes were, 561 and 557 μ, respectively.
+Dilated fundus examination revealed a well-demarcated circular macular lesion in both eyes.
+In the right eye, this lesion was approximately 2.5 disc diameters (DD) in width and 2.7 DD in length.
+In the left eye, this lesion was approximately 2.5 DD in width and 2.8 DD in length.
+The border of the lesions was pigmented.
+Underlying choroidal and overlying retinal vasculature appeared normal.
+In addition, a stalk of tissue emanated from the optic disc and coursed into the vitreous [Figure 2].
+Fluorescein angiography of the posterior segment and optical coherence tomography of the optic nerve head (Stratus; Carl Zeiss GmbH, Jena, Germany) were performed [Figures ​[Figures3 and 4].
+Due to the background maculopathy, the patient could not appropriately fixate on the target during image acquisition resulting in slightly decentered fluorescein angiography images [Figure 3].