His BCVA is 3/60 OD and CF 80 cm OS.


What do the pictures show? Why the inferior fundus bilateral? What is the likely cause?
Ultrasound report did not exclude a mass and showed the elevated lesion which was said to be either subretinal serous or hemorrhagic acculumation.
The colour photo shows retinal pallor, cherry red spot at the fovea, and attenuated retinal arteries.
OCT line scan passing through the fovea shows an increase in overall retinal thickness and hyper-reflectivity of the inner retina with posterior shadowing.
What do you think is the diagnosis, any other investigations needed and what about the management?
The images show pre-papillary white patches with minimal blurring of mainly the nasal disc edge, the OCTs show cup filling with elevation of the disc edges. What do you think?
A child complaining of diminution of vision.
Colour photo showing optic nerve lesion associated with macular detachment.
OCT line scan showing macular detachment
OCT line scan passing through the optic nerve showing a defect (red arrow).
Kindly add your comment about the diagnosis and if possible management!
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