This area of white is on the retina in the far periphery. It can only be seen when the eye is dilated. This occurs often as an inherited trait in near-sighted people. People that have this are more susceptible to developing retinal holes and detachments. This picture is of a young patient with the condition. It was discovered without any symptoms on routine dilation. She was educated to watch for flashes of light, floaters, or a curtain coming over her vision. We will follow up with her on a yearly basis.