Figure 3.
Cases 3a versus 3a: Fundus flavimaculatus (a) versus autosomal-dominant pattern dystrophy (b). These cases both presented with late onset, yellow flecks, good vision, and minimal macular atrophy. Note the peripapillary sparing on autofluorescence imaging in Case 3a that points towards ABCA4-associated retinal degeneration. Also note the prominent pigment clumps within the yellow flecks in Case 3b, which are more characteristic of PRPH2-associated pattern dystrophy, although genetic testing results were not available for this case. These cases can also be distinguished based on the inheritance patterns.