A Jumbo Surprise in the Retina: Autofluorescent Trails of Bestrophinopathy

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    • By Poornachandra B, MS, FVRS
      Narayana Nethralaya
      Co-author(s): Aditya Shankar, Dimple Shaji, Priya B V, Naresh Kumar Yadav,
    • Uploaded on Aug 27, 2026.
    • Last modified by Joshua Friedman on Aug 28, 2026.
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    Appears in
    Albinotic fundus
    Condition/keywords
    Autosomal recessive bestrophinopathy, autofluorescence imaging, inherited retinal disease
    Photographer
    Mr Dhikshith
    Imaging device
    Fundus camera
    Description
    Wide-field FAF shows multiple discrete and confluent hyperautofluorescent vitelliform deposits involving the posterior pole and peripapillary region, with surrounding mottled RPE hypoautofluorescence, consistent with Autosomal Recessive Bestrophinopathy, reflecting widespread lipofuscin accumulation with chronic RPE dysfunction.

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