13th February 2025

A 70-year-old smoker presents to the optician for a routine sight check.

A 70-year-old smoker presents to the optician for a routine sight check. Formal perimetry shows significant restriction of his peripheral fields in both eyes. On examination, multiple yellow lesions, which appear to be underneath the retinal blood vessels, are observed in the macula of both eyes. They appear to be symmetrical in distribution and severity. What is the most likely cause of his symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.