This healthy 24YO female was referred for asymptomatic OCT findings.
Color macular photography is normal, although swept-source OCT through each macular center reveals a flat foveal contour.
Learning Points:
Fovea plana is characterized by the absence of the foveal pit, which is formed embryologically by the inner retinal tissues and vasculature being displaced centrifugally.
It is most commonly associated with albinism, prematurity, or as an isolated finding. Despite the abnormal foveal architecture, vision is usually normal.
On further questioning, our patient was born 5 weeks prematurely and weighed about 5 pounds. We’re not sure if this caused her OCT findings.
