Cone-Rod Dystrophy an example of RPE atrophy due to cone-rod dystrophy

 

A patient presented with dyschromatopsia and photophobia with reduced vision to hand motion (HM)

Fundus image

Fundus exam shows golden sheen of the macula atrophic changes.

Fundus image showing cone-rod dystrophy golden sheen refelex with atrophic changes 

Optical coherence tomography

OCT scan shows diffuse ellipsoid zone disruption and RPE atrophy, inducing increased reflectivity of the choroid. Although the fovea appears with normal contours, the boundaries between retinal layers are not clear.

OCT cross-section showing RPE atrophy with ellipsoid zone disruption in cone-rod dystrophy

Discussion

This patient has bad BCVA of HM due to cone-rod dystrophy, which can be autosomal recessive, dominant, or X-linked disease. They usually suffer from dyschromatopsia and photophobia, in late-stage cone-rod dystrophy can cause legal blindness.