Photoreceptor Misalignment Accompanying a Fibrous Scar

A 9-year-old boy with dense fibrous scars at the macula had visual acuities of 6/12 and 6/9 and an abnormal color match (pseudoprotanomaly). The Stiles-Crawford effect functions were abnormal in both eyes, showing maximal sensitivity at the nasal edge of each pupil. The data suggest that the foveal photoreceptors, although spared destruction by an adjacent focus of healed chorioretinitis, have been distorted by fibrous traction arising from that defect.