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To report ocular manifestations of aceruloplasminemia (aCP) in two adult Caucasian siblings.Methods The ocular findings were investigated using multimodal imaging approach including color fundus photography, fluorescein angiography, autofluorescence imaging, spectral-domain optical coherence tomography. A 43-year-old woman and a 39-year-old man were diagnosed with aCP based on clinical symptoms, laboratory tests, liver biopsy and genetic examination of the ceruloplasmin gene confirming the homozygotic mutation G708S. Both patients had