Multimodal imaging including optical coherence tomography angiography of benign familial fleck retina

George J Manayath; Shishir Verghese; Hirika Vipul Gosalia; Anuradha Kanakath; Venkatapathy Narendran

doi:10.4103/ojo.ojo_286_21

Multimodal imaging including optical coherence tomography angiography of benign familial fleck retina

Oman J Ophthalmol. 2022 Mar 2;15(1):95-98. doi: 10.4103/ojo.ojo_286_21. eCollection 2022 Jan-Apr.

Authors

George J Manayath¹, Shishir Verghese¹, Hirika Vipul Gosalia¹, Anuradha Kanakath², Venkatapathy Narendran¹

Affiliations

¹ Department of Retina and Vitreous Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.
² Department of Uvea, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.

Abstract

A 44-year-old woman presented with complaints of pain in the right eye (RE). Fundus examination revealed disc edema in the RE along with retinal flecks sparing the macula in both eyes (BE). Fundus autofluorescence demonstrated a symmetrical pattern of white flecks in BE. Spectral-domain optical coherence tomography (SD-OCT) revealed the lesions at the level of retinal pigment epithelium with impingement onto the outer retina. SD-OCT angiography through the flecks revealed hyperreflective lesions at the level of avascular retina. RE B-scan revealed a T-sign. Based on these findings, she was diagnosed with BE benign familial fleck retina (BFFR) with RE posterior scleritis. We describe the multimodal imaging features in a middle-aged patient with BFFR and provide an insight into the probable pathogenesis.

Keywords: Benign familial flecked retina; hereditary eye disease; multimodal imaging; optical coherence tomography angiography.

Publication types

Case Reports