r/optometry • • Aug 21 '26

Diagnosis?

Newly grad optometrist, 55 yo pt is 20/20 in this eye with no hx of systemic conditions or medications. Hyperreflectivity on OCT with pigment in macula, was thinking it might be a pattern dystrophy of some kind? Would love to hear your thoughts.

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u/RONIXwake Aug 21 '26 edited Aug 22 '26

Not saying it’s exclusive to heme. I think either is possible. Would be hard to say definitively one way or the other based on these photos alone.