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A New Syndrome of Tapetal-Like Fundic Reflexes with Ring Scotomata: Report of Two Cases

A New Syndrome of Tapetal-Like Fundic Reflexes with Ring Scotomata: Report of Two Cases Abstract Mann1 has drawn attention to very rare instances in which human beings have demonstrated a tapetal-like reflex from the fundus oculi. Her 2 cases presented discrete bright yellow spots in the posterior polar region which seemed to be located deep to the retinal vessels. A similar fundus picture was described by Niccol2 in the mother of 2 children with atrophic macular lesions. Falls and Cotterman3 reported a family in which females presented the picture of a tapetal-like reflex and males developed typical retinitis pigmentosa. In all of the above cases the tapetal-like reflex appeared to be a benign lesion, with no defects in visual acuity or visual fields. It is the purpose of this communication to present 2 patients with tapetal-like reflexes in the fundi accompanied by defects in the visual fields. Report of Cases Case 1. —A 41-year-old white, married male of Greek origin was seen References 1. Seen through the courtesy of Drs. David G. Cogan and David A. Scott. 2. Mann, I.: Developmental Abnormalities of the Eye , Ed. 2, Philadelphia, J. B. Lippincott Company, 1957, p. 150. 3. Niccol, W.: A Family with Bilateral Developmental Defects at the Macula , Trans. Ophthal. Soc. U.K. 58:763 ( (Part II) ), 1938. 4. Falls, H. F., and Cotterman, C. W.: Choroidoretinal Degeneration: a Sex-Linked Form in Which Heterozygous Women Exhibit a Tapetal-like Retinal Reflex , A.M.A. Arch. Ophthal. 40:685, 1948.Crossref 5. Klien, B.: The Heredodegeneration of the Macula Lutea: Diagnostic and Differential Diagnostic Considerations and a Histopathologic Report , Amer. J. Ophthal. 33:371 ( (Part 1) ), 1950. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

A New Syndrome of Tapetal-Like Fundic Reflexes with Ring Scotomata: Report of Two Cases

Archives of Ophthalmology , Volume 67 (3) – Mar 1, 1962

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1962.00960020318008
Publisher site
See Article on Publisher Site

Abstract

Abstract Mann1 has drawn attention to very rare instances in which human beings have demonstrated a tapetal-like reflex from the fundus oculi. Her 2 cases presented discrete bright yellow spots in the posterior polar region which seemed to be located deep to the retinal vessels. A similar fundus picture was described by Niccol2 in the mother of 2 children with atrophic macular lesions. Falls and Cotterman3 reported a family in which females presented the picture of a tapetal-like reflex and males developed typical retinitis pigmentosa. In all of the above cases the tapetal-like reflex appeared to be a benign lesion, with no defects in visual acuity or visual fields. It is the purpose of this communication to present 2 patients with tapetal-like reflexes in the fundi accompanied by defects in the visual fields. Report of Cases Case 1. —A 41-year-old white, married male of Greek origin was seen References 1. Seen through the courtesy of Drs. David G. Cogan and David A. Scott. 2. Mann, I.: Developmental Abnormalities of the Eye , Ed. 2, Philadelphia, J. B. Lippincott Company, 1957, p. 150. 3. Niccol, W.: A Family with Bilateral Developmental Defects at the Macula , Trans. Ophthal. Soc. U.K. 58:763 ( (Part II) ), 1938. 4. Falls, H. F., and Cotterman, C. W.: Choroidoretinal Degeneration: a Sex-Linked Form in Which Heterozygous Women Exhibit a Tapetal-like Retinal Reflex , A.M.A. Arch. Ophthal. 40:685, 1948.Crossref 5. Klien, B.: The Heredodegeneration of the Macula Lutea: Diagnostic and Differential Diagnostic Considerations and a Histopathologic Report , Amer. J. Ophthal. 33:371 ( (Part 1) ), 1950.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1962

References