Fundus photographs of the right and left eyes.
A healthy 65-year-old man was seen for a routine eye exam and referred to the retina service due to the fundus findings shown in Figure 1. Uncorrected visual acuity was 20/40 with pinhole improvement to 20/25 OU. The external examination was normal. Anterior segment examination was unremarkable except for 1+ nuclear sclerosis bilaterally.
1. What is the differential diagnosis?
2. What further questions would you like to ask the patient?
3. What is the most likely diagnosis, and what is it associated with?
4. What are the symptoms?
5. What are the clinical findings?
6. What is the pathophysiology?