This article describes the variable ophthalmoscopic features of a macu
lar disorder in five generations of one family. This disease shares si
milarities with central areolar choroidal dystrophy and other progress
ive dominant macular dystrophies but demonstrates significant differen
ces that required further consideration. The milder affected individua
ls had confluent hyperfluorescence around the macular area while the m
ore severe lesions consisted of marked chorioretinal atrophy of the ma
cula. The visual fields revealed a central scotoma. The disorder was t
ransmitted as an autosomal dominant trait.