Abnormal foveal morphology Absent foveal reflex 2016-04-15T21:29:14Z Absence of the foveal reflex can occur with macular edema, central serous retinopathy, or other macular abnormalities such as macular dystrophy. The macular reflex is often less pronounced in adults than in children, and may be absent in otherwise normal eyes of older individuals. Absent reflectivity of the fovea, which normally is a bright pinpoint of light that is observed to move sideways or up and down in response to movement of the opthalmoscope. Foveal reflex absent Loss of foveal reflex SNOMEDCT_US:247144003 UMLS:C0423420