A 47 year female patient whose occupation was

housewife visited to hospital.

Chief complaints and history

Chronic, stable mildly diminished vision.
History of present illness
 After diagnosis of cone dystrophy she was refered for
retina clinic for further evaluation of chronic, mildly
diminished visual acuity and dyschromatopsia.
 Patient reported that her vision has never been
correctable to 20/20.
 The best visual acuity she remembers in her left eye is
20/30.
 She was diagnosed with amblyopia in the right eye as
a child and underwent a trial of patching at the age of
10.
 She is anisometropic.

Medical history: None

Family history

 She has several family members with mildly

subnormal vision.
 Her mother, brother, sister and son all have mildly
reduced vision, in the range of 20/30 to 20/50
 Visual acuity (with corrective lenses):
Right eye : 20/70
Left eye : 20/40
 Current spectacle correction
Right eye : -0.75 / +2.50 x 30
Left eye : -3.00
 Intraocular pressure : Right eye- 12mmhg,
Left eye- 14mmhg
 Pupil : Normal (No RAPD)
 Dilated fundus exam :
 There was optic disc pallor in both eyes.
 The macula, vessels and periphery were normal in both eyes.
 Ishihara plates : Right eye 2/14, left eye 3/14
 Electroretinogram(ERG) : scotopic bright flash 589
microvolts in right eye, 572 microvolts in left eye.
Scotopic dim flash 405 microvolts in right eye, 340
microvolts in left eye. Photopic bright flash 180
microvolts in right eye, 185 microvolts in left eye.