Optical coherence tomography of west african crystalline maculopathy.
OBJECTIVE
To describe a case of West African crystalline maculopathy and the optical coherence tomography (OCT) findings.


METHODS
A 47-year-old West African woman presented with bilateral yellow-green refractile crystals clustered in the fovea. She had proliferative diabetic retinopathy and a long history of chewing kola nuts. Given her history and clinical examination findings, a diagnosis of West African crystalline maculopathy was made.


RESULTS
OCT revealed that the foveal crystals were located in the innermost layers of the retina.


CONCLUSIONS
OCT findings, along with history and examination, can be helpful in confirming the diagnosis of West African crystalline maculopathy.
From the *Department of Medical Education and the †Retina Service, Wills Eye Institute, Philadelphia, Pennsylvania.
Paul S
PS
Baker
Allen C
AC
Ho
Marc J
MJ
Spirn