Optical coherence tomography study of adult vitelliform macular detachment in a patient with basal laminar drusen

Abstract

To report the morphological data of adult vitelliform macular detachment in a patient with basal laminar drusen using optical coherence tomography (OCT-3) as an observational case report. A 70-year-old man presented with adult vitelliform macular detachment and basal laminar drusen underwent fundus biomicroscopy, fundus fluorescein angiography and OCT-3. Fundus examination showed bilateral yellow subretinal macula deposits with associated basal laminar drusen. Examination with OCT revealed areas of hyper-reflectivity compatible in size with the subretinal deposits below and elevating the photoreceptor layer. This was accompanied by underlying disruption of the OCT signal from retinal pigment epithelium (RPE) in the more affected left eye. In adult vitelliform macular detachment and basal laminar drusen, OCT may demonstrate that the yellow material is located predominantly below RPE in early disease and between the photoreceptor layer and the retinal pigment epithelium in later disease.