A 60-year-old man with a history of schizoaffective disorder, diabetes, and hypertension presented for central floaters and blurred vision in both eyes (OU). He had a longstanding history of antipsychotic drug use and staring at the sun. Best corrected visual acuity was 20/30 in the right eye (OD) and 20/40 in the left eye (OS). Ophthalmoscopy demonstrated areas of yellow, central macular reflex in each eye (Figs 1 and 2). Optical coherence tomography evinced areas of atrophy in the retinal pigment epithelium, photoreceptors, and outer retinal segments in the fovea OU (Fig 3A–B).
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