A 13-year-old white female presented for a routine eye examination. She had no ocular complaints and reported no pertinent ocular or systemic history. She reported no allergies and denied taking any medications.

Diagnostic Data
Her best-corrected acuities were 20/20 O.U. at distance and near. External examination was normal and there was no evidence of afferent pupillary defect.

Anterior segment findings were normal and applanation intraocular pressures measured 18mm Hg in both eyes. The pertinent fundus findings are demonstrated in the photograph.

The patient presented with this retinal appearance.

How would you approach this case? Does this case require any additional tests?

What is your diagnosis? How would you manage this patient? Whats the likely prognosis?

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Vol. No: 141:06Issue: 6/15/04