Case Report West African Crystalline Maculopathy in Sickle Cell Retinopathy

License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. To describe the first reported case ofWest African crystallinemaculopathy (WACM) from amember of the Benin tribe and explore the association with sickle cell retinopathy. Methods. Full ophthalmic examination and high-resolution ocular coherence tomographic imaging. Patients. 61-year-old patient from an academic retina practice. Results. The patient demonstrated bilateral yellow-green birefringent crystals localized to the inner retina on optical coherence tomography, as well as sickle cell-related neovascularization in the right eye. She reported no consumption of kola nuts. Conclusions. Associated retinal vascular disease may be important in the pathogenesis of crystalline maculopathy. 1. Case Description A 61-year-old female with hypertension, diabetes mellitus type II, and sickle cell presented with visual acuity of 20/50 (right eye) and 20/40 (left eye). Dilated fundus examination revealed bilateral foveal refractile yellow-green crystals that were more abundant in the right eye (Figures 1(a) and 1(b)) and regressed sea fan neovascularization in the right superio