Fundal photograph (A) and autofluorescence (B) (Case 1)

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Fundal photograph (A) and autofluorescence (B) (Case 1) Fundal photograph (A) and autofluorescence (B) (Case 1). (A) There are multiple small, white or yellowish dots on the retina that may be confluent. Fundal photograph (A) and autofluorescence (B) (Case 1). (A) There are multiple small, white or yellowish dots on the retina that may be confluent. They may be most dense around the macula. This appearance is typical of Multiple Evanescent White Dot Syndrome, a chorioretinopathy of the outer photoreceptor layer. Granularity at the fovea, not visible here, is pathognomic. The changes here are subtle but much more obvious using autofluorescence imaging. (B) Autofluorescence highlights areas of altered metabolism, and the optic disc and vessels appear dark. The white dots are clearly seen to coalesce around the vascular arcades and there is a density of white dots around the macula. Zhaleh Khaleeli et al. Pract Neurol 2018;18:84-96 ©2018 by BMJ Publishing Group Ltd