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Photo Essay |

Case of Sjögren Reticular Dystrophy

Stuart J. McGimpsey, MD, MRCOphth; Simon J. A. Rankin, MD, FRCOphth
Arch Ophthalmol. 2007;125(6):850. doi:10.1001/archopht.125.6.850.
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After a routine appointment with her optometrist, an 11-year-old girl was referred with an unusual fundus appearance. She was visually asymptomatic with no family history of ocular disease. On examination, her visual acuity was 6/5 in each eye. Anterior segment examination results were unremarkable. Fundus examination (Figure) showed a dark clump of pigment at each fovea. There was a bilateral and symmetrical reticular pattern of pigment clumping at the level of the retinal pigment epithelium. Retinal vasculature was of normal caliber, and the optic nerve heads were of normal appearance with good color. Electroretinographic responses were within normal limits.

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Color photographs of the right and left eyes demonstrating the symmetrical and reticular pattern of this dystrophy. Pigment accumulates at the fovea and radiates from the center to the periphery like a “fishnet with knots.”

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