Fig. 19 Lefler-Wadworth-Sidbury foveal dystrophy. The stage 2 lesion is characterized by confluent drusen with early pigment clumping within the central macula. In this case early pigment epithelial atrophy is also seen. (Courtesy of Dr. Michael E. Barricks; G from Marmor, MF, Byers B: Pattern dystrophy of the pigment epithelium. Am J Ophthalmol. 84:32, 1977)