26692730 Visualization

A 24 Age - year Age - old Age Azeri Personal_background male Sex presented Clinical_event with a chief complaint of blurred Sign_symptom vision Sign_symptom in both Biological_structure eyes Biological_structure .
He was diagnosed with achondroplasia History in early childhood.
He was born History at History term History with History normal History birth History weight History .
There was no History history History of History hereditary History ocular History or History systemic History disease History .
This patient had characteristic Sign_symptom features Sign_symptom of Sign_symptom achondroplasia Sign_symptom (i.e., short stature, lumbar lordosis, short proximal long bones, large hands, frontal bossing, and flat nasal bridge) [Figure 1].
His height was 108 Height cm Height .
Best corrected Detailed_description visual Diagnostic_procedure acuity Diagnostic_procedure was 20/70 Lab_value in the right Biological_structure eye Biological_structure with −0.75 + Lab_value 1.25 Lab_value × Lab_value 60° Lab_value and 20/70 Lab_value in the left Biological_structure eye Biological_structure with OS Biological_structure : +0.25 Lab_value + Lab_value 0.50 Lab_value × Lab_value 130° Lab_value .
Pupils Biological_structure were equal Detailed_description in Detailed_description size Detailed_description , round Detailed_description and reactive Detailed_description to Detailed_description light Detailed_description with no reverse Sign_symptom afferent Sign_symptom pupillary Sign_symptom defect Sign_symptom .
Ocular Diagnostic_procedure motility Diagnostic_procedure was normal Lab_value in both Biological_structure eyes Biological_structure and slit Diagnostic_procedure lamp Diagnostic_procedure examination Diagnostic_procedure was unremarkable Lab_value .
The intraocular Diagnostic_procedure pressure Diagnostic_procedure was 12 Lab_value mm Lab_value Hg Lab_value by Goldmann Detailed_description applanation Detailed_description tonometry Detailed_description .
Central Diagnostic_procedure corneal Diagnostic_procedure thickness Diagnostic_procedure values Diagnostic_procedure of the right Biological_structure and left Biological_structure eyes were, 561 Lab_value and 557 Lab_value μ Lab_value , respectively.
Dilated Diagnostic_procedure fundus Diagnostic_procedure examination Diagnostic_procedure revealed a well Detailed_description - demarcated Detailed_description circular Shape macular Biological_structure lesion Sign_symptom in both Biological_structure eyes Biological_structure .
In the right Biological_structure eye Biological_structure , this lesion Sign_symptom was approximately 2.5 Distance disc Distance diameters Distance (DD) Distance in Distance width Distance and 2.7 Distance DD Distance in Distance length Distance .
In the left Biological_structure eye Biological_structure , this lesion Sign_symptom was approximately 2.5 Distance DD Distance in Distance width Distance and 2.8 Distance DD Distance in Distance length Distance .
The border Detailed_description of the lesions Sign_symptom was pigmented Detailed_description .
Underlying choroidal Biological_structure and overlying retinal Biological_structure vasculature Biological_structure appeared normal Lab_value .
In addition, a stalk Sign_symptom of Sign_symptom tissue Sign_symptom emanated from Biological_structure the Biological_structure optic Biological_structure disc Biological_structure and coursed into Biological_structure the Biological_structure vitreous Biological_structure [Figure 2].
Fluorescein Detailed_description angiography Diagnostic_procedure of the posterior Biological_structure segment Biological_structure and optical Diagnostic_procedure coherence Diagnostic_procedure tomography Diagnostic_procedure of the optic Biological_structure nerve Biological_structure head Biological_structure (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].