Case 8-1. Soft Drusen
A 58-year-old woman with the clinical diagnosis of age-related macular degeneration had dense, soft dm sen in her right central macula (A). No subretinal fluid, hemorrhage, or exudate were noted on clinical examination. Fluorescein angiography (B) displayed punctatehyperfluo-rescence without leakage during all phases of the angiogram consistent with the staining of soft drusen.
Small modulations in the contour of the retinal pigment epithelium were noted in a vertical OCT image (C) taken through the fovea. The lack of shadowing below these contour changes, usually a feature of serous detachments of the pigment epithelium, was consistent with the accumulation of soft drusen beneath the neurosensorv j retina and within Bruch's membrane,
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