gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Bietti's crystalline retinopathy determined by cross-sectional optical coherent tomography

Meeting Abstract

Search Medline for

  • corresponding author C. Müller - Department of Ophthalmology, Philipps-University Marburg
  • C.H. Meyer - Department of Ophthalmology, Philipps-University Marburg
  • S. Mennel - Department of Ophthalmology, Philipps-University Marburg

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogP 172

The electronic version of this article is the complete one and can be found online at:

Published: September 22, 2004

© 2004 Müller et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




To demonstrate the cross-sectional anatomy in crystalline retinopathy.


A 24-year-old woman with bilaterally decreased vision and nyctalopia was examined by optical coherence tomography (OCT).


Visual acuity was 20/40 OD and 20/60 OS. Fundus examination demonstrated numerous reflective, yellow-white crystalline deposits scattered throughout the posterior pole and midperipheral retina. OCT disclosed an abnormal high reflectivity in red to orange colors throughout the entire neuroretina, retinal pigment epithelium (RPE) and choroid. The RPE-choriocapillaris-complex was thickened and hyperreflective corresponding with dense crystalline deposits.


The uncommon hyperreflectivity relates to the deposition of numerous infiltrates. In-vivo investigations by OCT confirmed histological studies that a crystalline retinopathy corresponds with numerous infiltrates in the retina, RPE and choroid. The RPE and choroid have an intensive hyperreflection and may be the primarily location of the disease.