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A 39-year-old woman presented at a clinic for a second opinion regarding a diagnosis of age-related macular degeneration, which had been noted on routine ophthalmologic examination. She reported having no visual problems. Her medical history was notable for congenital hearing loss associated with her mother's having contracted rubella during her pregnancy. The visual acuity was 20/20 in both eyes. Findings on slit-lamp examination and intraocular pressure were normal. Funduscopic examination revealed granular, pigmentary mottling in the macula and periphery, with punctuate hypopigmentation (arrowheads) and hyperpigmentation (arrows) consistent with the "salt-and-pepper" retinopathy of rubella. The findings on cardiac examination were normal. . . . [Full Text of this Article] |
A correction has been published: N Engl J Med 2006;355(15):1627.
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