A 60-year-old Vietnamese male presented with a recent decrease in vision of the left eye only over the past several weeks. Patient has no other complaints and past ocular, medical, family history are unremarkable. Examination revealed a best-corrected visual acuity of 20/20 right eye and 20/50 left eye. IOPs were normal at 19mmHg right and 16mmHg left. Anterior segments were normal. Both eyes have 1+ NSC lens changes.

Dilated fundus examination of the posterior pole is shown in these photos. Evaluation of the peripheral retina was notable for the lesion in the left eye supero-nasally. Evaluation of the peripheral retina was notable for this lesion in the left eye supero-nasally:

 

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