The aim of this study is to investigate fundus autofluorescence (FAF) as well as fluorescein angiography (FA),indocyanine green angiography (IA), and optical coherence tomography (OCT) in a patient with pigmented paravenouschorioretinal atrophy (PPCRA). A funduscopic examination revealed chorioretinal atrophy along the paravenous area inboth eyes. A marked bone spicule pigment clumping together with the atrophy was noted left eye. FA and IA showed awindow defect and hypofluorescence, respectively, which exclusively corresponds to the atrophic area along the retinalvein area and the optic disc both eyes. FAF revealed geographic hypofluorescence along the paravenous and supranasalretinal areas. Hyperfluorescence was noted, which comparatively surrounded the hypofluorescence in the peripheralparavenous distribution. Hypofluorescence detected by FAF corresponded to the areas of retinal thinning and atrophydetected by OCT and FA. FAF is a useful examination in PPCRA, which can noninvasively demonstrate the distributionof deficit and dysfunction of retinal pigment epithelium.
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