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Foveal hemorrhage in an eye with foveal hypoplasia associated with albinism.
[oculocutaneous albinism]
Oculocutaneous
albinism
is
a
group
of
congenital
disorders
caused
by
alterations
of
melanin
biosynthesis
.
We
report
our
findings
in
a
patient
with
oculocutaneous
albinism
who
presented
with
foveal
hypoplasia
and
a
foveal
hemorrhage
.
A
48
-
year
-old
man
noted
a
dark
spot
in
the
middle
of
the
visual
field
of
his
right
eye
.
He
had
depigmented
skin
,
white
hair
,
white
eyebrows
,
and
white
cilia
.
He
also
had
horizontal
nystagmus
and
depigmented
irides
.
His
best-corrected
visual
acuity
was
2
/
100
with
-
14
.
0
diopters
in
the
right
eye
and
3
/
100
with
-
5
.
0
diopters
in
the
left
eye
.
Ophthalmoscopy
showed
diffuse
depigmentation
in
both
eyes
and
a
foveal
hemorrhage
in
the
right
eye
.
Optical
coherence
tomography
showed
the
absence
of
a
foveal
pit
in
both
eyes
and
a
subretinal
hyperreflective
lesion
corresponding
to
the
foveal
hemorrhage
in
the
right
eye
.
Fluorescein
angiography
showed
that
the
retinal
and
choroidal
vessels
were
relatively
hypofluorescent
because
of
the
lack
of
a
blocking
effect
of
the
pigments
in
the
retinal
pigment
epithelium
.
Fluorescein
angiography
and
indocyanine
green
angiography
did
not
show
any
evidence
of
choroidal
neovascularization
in
either
eye
.
The
foveal
hemorrhage
in
the
right
eye
spontaneously
regressed
and
finally
resolved
at
3
months
after
onset
.
At
the
final
examination
,
the
patient
reported
that
his
vision
had
recovered
.
A
foveal
hemorrhage
is
a
rare
condition
in
an
eye
with
foveal
hypoplasia
associated
with
albinism
.
The
hemorrhage
may
be
related
to
high
myopia
and
also
to
the
hypoplasia
of
the
fovea
associated
with
albinism
.
