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Spontaneous closure of secondary holes can take place with improvement in visual acuity. To report a case of pigmented paravenous retinochoroidal atrophy in a patient that was found to have an autosomal dominant pathogenic variant of the hexokinase 1 (HK1) gene. Case Report RESULTS A 41-year-old Caucasian woman with a distant family history of retinitis pigmentosa presented with a five-year history of bilateral blurry and decreased vision, that led to eventual loss of ability to drive. . Color funduscopic photographs revealed retinochor