Figure 2: Fundus photographs, fluorescein angiogram and fourierdomain optical coherence tomography (Cirrus and RTVue) images of Case 2. Fundus photographs of the right (A) and the left (B) eye are unremarkable except for mild pigment alteration in the fovea with some loss of foveal refl ex in both the eyes. Middle (Arteriovenous) phase fluorescein angiogram of the right (C) eye is unremarkable, while that of the left (D) eye shows foveal hyperfluorescence. Cirrus (E to I) and RTVue (J to M) Fd-OCT images of case 2 were obtained. The right (E) and the left (F) eyes show patches of loss of inner segment-outer segment junction of photoreceptor layer (black arrows) and possible microcystoid changes (white arrows). One of the sections through right macula (G) appears normal. A foveal detachment suggestive of an impending macular hole or outer lamellar hole (arrow-head) is seen in the left eye (H). The same scan nine months later (I) shows resolution of foveal detachment with persistence of microcystoid changes (white arrows) and photoreceptor IS-OS loss (black arrows). A single horizontal line scan through right central macula (J) appears normal while the higher resolution horizontal line scan through the left central macula (K) show patches of loss of inner segment-outer segment junction of photoreceptor layer (black arrows) with possible microcystoid changes (white arrows). Lower resolution radial scan through the right macula (L) shows patches of loss of photoreceptor layer (black arrow) while scans through the left eye (M) shows microcystoid changes with foveal detachment suggestive of an outer lamellar hole or an impending macular hole (arrow-head).