Color fundus photographs. (Top panel) Images of the right and left eye reveal subtle irregularities of the internal limiting membrane reflex and pigmentary changes. IR imaging with corresponding Spectralis OCT cross- sectional image of the right (Middle panel) and left (Bottom panel) eye reveals classic wedge-shaped lesions. Spectralis OCT demonstrates thickening of the OPL with underlying thinning of the outer nuclear layer. The IS-OS line is affected in both eyes.