Figure 2: At 15 months follow up the sub retinal lesion in the RE remaining unchanged on fundus (a) and OCT (c) whereas LE fundus showing increased parafoveal RPE depigmentation and a small pigmented plaque along the right angled venule temporally (b). OCT of the LE showing multiple lamellar holes sub foveally increased disruption of the outer retinal layers with hyper reflective echoes temporally suggestive of progression (d). mfERG recording (e) showing normal response in the RE and diminished amplitudes in the inner rings in the LE. At her final visit at 3 years, no significant changes are seen ophthalmoscopically or on OCT in the RE (f, h), but LE is showing further progression with increased RPE atrophy and pigmented RPE plaques (g). OCT showing enlarged lamellar hole and RPE hyperplasia causing shadowing temporal to fovea (i).