Question 24

A 22 year old presents with slowly worsening vision over the last several years. She says that it is most bothersome at night and she reports problems with glare with headlights while driving. On review of systems, she reports that she is seeing an ENT specialist due to hearing problems and they have sent genetic testing which showed a mutation on chromosome 22. On exam, she has bilateral posterior subcapsular cataracts with 20/25 distance vision OU. Glare testing shows a decrease in vision to 20/40 OU. What finding would you most likely see on fundus examination of this patient?

Peripheral retinal neovacularization

Optic disc drusen

Congenital hypertrophy of the retinal pigmented epithelium (CHRPE)

Retinal hamartoma

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