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. 2011 Mar 21;52(3):1557–1566. doi: 10.1167/iovs.10-6549

Figure 2.

Figure 2.

Fundus photograph (A) and AF (B) of patient 2 (Arg172Trp) shows RPE mottling diffusely throughout the macula with regional atrophy inferotemporal to fixation. (A, B, black lines) Region imaged with AOSLO and SD-OCT, respectively. (C) SD-OCT through fixation reveals outer nuclear, inner segment, and outer segment layer loss eccentric to a central region of relatively preserved outer retinal structures, where highly reflective features are present in the outer segment/RPE junction layer (arrow). (D) High-resolution images of macular cone structure show cone spacing is increased by 4.6 to 6.8 SD above the normal mean throughout the macula. Red dot: fixation. Fundus-guided microperimetry shows >2 log units sensitivity loss (indicated by 0) in regions of heterogeneous AF, with 1 to 2 log units sensitivity loss within 1° of fixation (E). A hyperreflective region with increased cone spacing (Z-score 5.7) was present at the fovea (see Fig. 6B, left). Scale bar, 1°.