This 77YO female presented on 8/3/21 with asymptomatic bilateral confluent soft drusen. Vision was 20/30 OU.
Over the next year, the drusen flattened with secondary drusenoid atrophy. Transmission defects from incomplete outer retinal and RPE atrophy are noted at the most recent visit. Vision was 20/20 OU on the 8/9/22 visit.
Learning Points:
Drusen commonly remodel over time, and their collapse can lead to drusenoid atrophy of the RPE, as in our patient. Vision may or may not decrease following drusen regression.
