Angioid streaks
There are irregular dark red steaks radiating from the optic nerve head. They lid beneath the retina and the blood vessels. The macula may show scarring or pigmentary hyperplasia from subretinal neovascular membrane.

Look for associated sign:

  • Optic disc drusen
Look for systemic diseases:
  • Pseudoxanthoma elasticum. This is the most common skin condition seen in the MRCOphth examination. There are soft, wrinkled, yellow xanthoma -like skin lesions commonly seen in the neck.
  • Ehler-Danlos's syndrome (poorly healed scars at the knees or heels)
  • Paget's disease
  • Acromegaly


1. What are the main causes of poor vision in angioid streaks?


2. What are the systemic features of pseudoxanthoma elasticum?


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Ehler-Danlos' syndrome
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