Spectral-domain optical coherence tomography of white dot fovea.

White dot fovea is thought to be a benign condition and was originally recognized in 1997 by Yokotsuka and associates. It is characterized by the appearance of multiple tiny, white dots on the surface of the foveola that typically are arranged in a ringlike pattern at the foveal margin; the appearance can simulate a macular hole. In that early report, nearly all (28 of 30) cases described were bilateral, and all patients were Japanese. Fekrat and Humayun also identified the same condition in an African American patient with an asymptomatic, single, ringlike, white macular lesion in the right eye. To our knowledge, white dot fovea has not been described using optical coherence tomography (OCT). Herein, we present 3 patients with asymptomatic findings in both maculae identical to those presented by Yokotsuka and associates and Fekrat and Humayun and show spectral-domain OCT (SDOCT) images through the foveal abnormalities.