This unknown shows extensive and unusual, radial and circumferential scarring of the posterior pole in this 37 YO male’s left eye. The right eye (not pictured) had a failed retinal detachment repair at an outside practice many years earlier, resulting in no light perception vision and an opaque, white cornea.
Since the radial changes seem to mostly follow the arcades, pigmented paravenous retinochoroidal atrophy is considered in the differential, but there are no areas of intraretinal pigment migration (bone spicules), and the more peripheral connecting circumferential scarring would be unusual. No electrophysiology has been performed.
This patient presented like this years ago without symptoms, all findings have been stable, and we have been following him since with 20/30 vision.
