LAUSR

A 21‐year‐old male was referred after an incidental finding of a chorioretinal scar in his right fundus during a routine clinical examination. He had no ocular complaints and his clinical examination revealed a best‐corrected visual acuity of 6/6 both eyes (−0.5D @ 150°right eye). Patient had no significant past medical or ocular history including infectious diseases or long‐term exposure to retinotoxic drugs. Anterior segment was quiet and unremarkable. Goldman applanation tonometry was 14 mmHg both eyes. A 78D slit‐lamp biomicroscopy revealed a flat globally hyperpigmented fusiform lesion with sharp margins. It was temporal to the fovea with its tip directed toward it [Fig. 1a‐c]. Binocular indirect ophthalmoscopy revealed no peripheral chorioretinal lesions in both eyes. Examination of the left eye was unremarkable. Optical coherence tomography revealed gross loss of outer retinal layers with thickening of the retinal pigment epithelium involving the lesion. The fundus autofluorescence images showed a globally hypopigmented torpedo like lesion with surrounding patchy hyper autofluorescent areas [Fig. 2a and b]. Normal fundus auto fluorescence [Fig. 2c].