On examination, visual acuity with spectacles was 20/30 OD and 20/20 OS. Near visual acuity was Jaeger 1+ OU. Anterior segment examination results were normal in both eyes. Ophthalmoscopy showed bilateral, multifocal, 200- to 300-μm, yellowish, elevated lesions at the choroid and subretinal pigment epithelial level, concentrating in the posterior pole but extending to the midperiphery (Figure 1). The peripheral lesions were most easily visualized overlying choroidal vessels. Optical coherence tomography showed multiple, optically lucent, focal elevations of the retinal pigment epithelium (Figure 2). Fluorescein angiography and indocyanine green angiography showed staining of lesions throughout the fundi, more numerous than those observed by ophthalmoscopy (Figure 3). Old fundus photographs (not shown) confirmed presence of the lesions 2 years previously, with gradual enlargement and increased confluency until examination 14 months after her initial visit to us. Visual acuity was unchanged.