Figure 1: Fundus photograph at presentation showing sub macular yellowish lesion, one-third disc diameter in size, not associated with any vascular changes, pigmentation or CNV in the RE (a), RPE hypo pigmentation over fovea with minimal graying and telangiectasia in the LE (b). Fluorescein angiography showing ill defined hyper fluorescence sub foveally in the RE (c) and temporal parafoveal leakage in the LE (d). Spectral domain Optical Coherence Tomography (OCT) of the RE showing hyper reflective clump of echoes sub foveally, normal morphology of all the retinal layers around the lesion and no features of CNV (e). In the LE there is foveal thinning, small sub foveal lamellar hole and internal limiting membrane (ILM) drape with disruption of outer retinal layers temporally (f). Disruption of the ellipsoid line and intact RPE are noted in BE.