Bread Crumb-Flecked Retinopathy

The case of a young girl with bilateral retinal flecks, normal fluorescein angiography results, and normal electrophysiologic findings is reported. The fundus appeared to consist of multiple, scattered, pale, bread crumb-like lesions that seemed to lie deep to the retinal vessels and anterior to the retinal pigment epithelium. The lesions were located outside the posterior pole in the midperiphery, and spared the macula and perimacular areas. The disorder may be associated with anomalies of the central nervous system and extraocular motility. No reports of similarly described fundus lesions have been found in the literature.