Ultra-widefield photograph in an 8-years-old female patient with deficiency of LCHAD (long-chain 3-hydroxyacil.coA dehydrogenase) secondary to more frequent homozygous mutation in the gene of HADHA. Note the pigmented deposits in the middle and periphery. VA:20/20 RE.

Fundus photograph, in same case, showing normal colour disc, normal vasculature and pigmented areas at macular and peripheral retina. It has an abormal accumulation of pigment at the retinal pigment epithelium that develops to scattered areas of RPE atrophy.