Focal Choroidal Elevations: Localized Pigment Epithelial Contour Alterations due to Isolated Choroidal Vessels

Figure 2

Metamorphopsia and focal choroidal elevations in a patient with atrophic age-related macular degeneration. (a) Amsler grid demonstrating metamorphopsia drawn by this 86-year-old female patient. (b) Right eye fundus autofluorescence with no evidence of geographic atrophy but showing a faint pinpoint area of relative hypoautofluorescence (arrowhead) corresponding to focal choroidal elevation in (c) scanning laser ophthalmoscopic image with green arrow showing raster position for SD-OCT in (d) focal choroidal elevation (arrow) without overlying drusen or atrophy corresponds to the location of metamorphopsia; there is subtle disruption of the ellipsoid portion of photoreceptor outer segments (IS/OS line) overlying this region (arrowhead).