35-year-old male who comes in for a checkup.
VA OD 20/20 OS 20/20.
Fundus examination reveals a rounded yellowish lesion at the foveal level in both eyes, approximately 1/4 disc diameter in size. This deposit is hyperautofluorescent, suggesting the presence of vitelliform material. OCT shows hyperreflective material at the subfoveal level. EOG is normal, leading to a diagnosis of adult-onset foveomacular vitelliform dystrophy (AOFVD).