Fig. 1

Adult onsel vitelliform macular dystrophy in a 54 year old patient (Patient 1) receiving deferoxamine chelation therapy for transfusional iron overload due to beta thalassemia intermedia. Fundus photography demonstrates the yellowish lesions with central and parafoveal hyperpigmentation in both maculas as well as angioid streaks arising from both optic discs (a, b). Mild stippled hyperautofluorescence in the borders of the macular lesions are shown in fundus autofluorescence (c, d). Fluorescein angiography reveals a subtle ring of hyperfluorescence with late staining surrounding the hypofluorescent lesion (e, f)