A Unique Case of Autoimmune Retinopathy Associated with Anti-Alpha-Enolase Antibodies

Figure 1

Color fundus photo montage OD. Exam was remarkable for mild vessel narrowing with areas of hypopigmentation most notable in the superotemporal periphery, although also noted in the inferior/inferonasal periphery. Peripapillary depigmentation (more evident temporally and less extensive than the ring of depigmentation noted OS) is present. Biomicroscopy revealed subtle reddish spots, not consistent with hemorrhage, within areas corresponding to the areas of the visual field where he described symptoms. These subtle red spots were most notable in the far inferonasal periphery and are difficult to appreciate in the photos.