Fig. 1. A 14-year-old boy referred for occult neurologic disease or malingering who had undergone magnetic resonance imaging and psychiatric counseling. Visual acuity was 20/100 in both eyes. Fundi (A and B) show thinned rounded macular reflexes and mild pigment changes at the foveae. Fluorescein angiography (C) disclosed marked macular pigment epithelial disturbance. Diagnosis: juvenile macular degeneration (Stargardt's type).