Enhanced tapetal-like reflex in sector retinitis pigmentosa

摘要: A 55-year-old woman presented with complaints of decreased vision in the right eye (RE). Her best-corrected visual acuity in the RE was 20/30 and left eye was 20/20. Both eyes (BEs) anterior segment examination was unremarkable. There was no history of night blindness or decreased vision in any of the family members. Fundus examination revealed presence of retinal pigment epithelial (RPE) hypopigmentation and atrophy at the posterior pole along with an enhanced golden tapetal sheen seen in the mid-periphery in all quadrants with characteristic retinal vessel sparing (figure 1A, B). Fundus autofluorescence revealed an area of granular hypoautofluorescence along the inferior arcade with a crescent-shaped hyperautofluorescence in BEs (figure 1C, D). Spectral domain optical coherence tomography (SD-OCT) revealed a lamellar macular hole in the RE and a normal foveal contour in the left eye with an …