A 63-year-old presented with blurring and yellow lesions.

Analysis
The superficial retinal is within normal limits. The nerve fiber layer (NFL), ganglion cell layer (GC), inner nuclear (INL) and outer plexiform layers (OPL) are all within normal limits. The external limiting membrane (ELM) is elevated in certain areas. There is significant thickening of the ellipsoid zone (EZ) and the retinal pigment epithelium (RPE). This patient had yellowish material deposited in the deep retina. The lesions consisted of a “butterfly-like” morphology.
The patient was diagnosed with a pattern dystrophy.

OCT Tip
The presence of elevations in the deep retina should include the consideration of a pattern dystrophy.
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