A thirty-five-year-old woman affected by Malattia Leventinese in both eyes. (a) Color fundus photographs with large and small drusen associated with pigmentary changes. The larger drusen are confluent in the macular area while the smaller drusen are located temporally. (b) The larger drusen are hyperautofluorescent. (c) Large drusen are hyperfluorescent with a hypofluorescent halo in the late phase of ICG angiography. (d) The large drusen are located under the RPE on B-scan OCT.