Adult-onset foveomacular pigment epithelial dystrophy

A patient is described with adult-onset macular dystrophy which has typical ophthalmoscopic and fluorescein-angiographic features. Visual loss is remarkably slight. Central static perimetry shows a decreased photopic sensitivity level but a normal scotopic level. The EOG is slightly subnormal. The characteristic lesions can very well be differentiated from other macular dystrophies.