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Outer retinal tabulations seemed to develop in regions of coalescent areas of RORA. Conclusions The development and progression of RORA could be tracked in MIDD patients using OCT images, allowing potential utilization as novel surrogate markers. Similarities to OCT-features in age-related macular degeneration, where mitochondrial dysfunction has been implicated in the pathogenesis support wide-ranging benefits from proof-of-concept studies in MIDD.Myxoglobulosis is a rare macroscopic form ( less then 1%) of appendiceal mucocele charac