Figure 2. Fundus photography. Images are right and left eye color fundus photograph composites of patient NH13424 performed using TOPCON retinal camera at 2.45x magnification at 35 degrees. Composite images were created using Adobe Photoshop. Image cropping and reflections are observed secondary to poor pupil dilatation. The images show significant and abnormal peripapillary hyperpigmentation with fine granular pigmentation at the level of the retinal pigment epithelium (RPE).