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Case Reports in Ophthalmological Medicine
Volume 2012 (2012), Article ID 864958, 3 pages
http://dx.doi.org/10.1155/2012/864958
Case Report

Isolated Foveal Hypoplasia: Tomographic, Angiographic and Autofluorescence Patterns

1Department of Ophthalmology, Hospital S. João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal
2Department of Ophthalmology, Hospital Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal
3Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal

Received 15 May 2012; Accepted 28 June 2012

Academic Editors: J. F. Arevalo and A. Ferreras

Copyright © 2012 Ágata Mota et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To report clinical aspects, tomographic, angiographic, and autofluorescence patterns of two cases of isolated foveal hypoplasia. Methods. Foveal hypoplasia was found in a 23-year-old male patient and in a 64-year-old woman with impaired visual acuity of unknown etiology that remained unchanged for years. Results. In the first case, spectral-domain optical coherence tomography (SD-OCT) showed reduced foveal pit and continuity of inner retinal layers in the fovea. Photoreceptor layer had a normal thickness centrally. The foveal avascular zone (FAZ) was absent in the flourescein angiogram (FA). Fundus autofluorescence showed reduced foveal attenuation of autofluorescence. In the second patient, there was the same pattern in SD-OCT, with normal aspect in FA and only a slightly reduced foveal attenuation of autofluorescence. Conclusion. OCT, as a noninvasive and quick method, is helpful in the diagnosis of foveal hypoplasia. FA and fundus autofluorescence were less sensitive.