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61-year-old woman was seen in the office on October 10, 2011. She has had decreasing vision for about the last five years. She doesn’t smoke. She takes eye vitamins and fish oil. VISUAL ACUITY: OD 20/50, OS 20/200. IOP: 13 OU. SLIT EXAMINATION: There is 1+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There are pisciform lesions on the macula with some atrophy centrally. OS: Vertical C/D ratio is 0.5. There are pisciform lesions on the macula with some atrophy centrally. FUNDUS PHOTOGRAPHY: The infrared images do show areas of hypo reflectivity corresponding to pigment epithelial atrophy. FUNDUS AUTO FLUORESCENCE: The fundus auto fluorescence show areas of hyper auto fluorescence inside the pisiform lesions and the fovea unfortunately is dark centrally. SPECTRALIS-SD-OCT SCAN: The OCT scan shows retinal atrophy in the center in each eye. IMPRESSION: 1. FUNDUS FLAVIMACULATUS (STARGARDT'S DISEASE) – BOTH EYES DISCUSSION: I explained to the patient unfortunately she does have a macular dystrophy causing vision loss and retinal atrophy in each eye. At the moment there is no treatment, but there are trials started, actually right now in California for cell transplantation and maybe in a few years we will have something that can help her.

flavimaculatus_kafe01.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence od1071 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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flavimaculatus_kafe02.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence od682 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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flavimaculatus_kafe03.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence os885 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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(0 votes)
flavimaculatus_kafe04.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence os718 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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(0 votes)
flavimaculatus_kafe05.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo912 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
55555
(1 votes)
flavimaculatus_kafe06.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo580 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
(0 votes)
flavimaculatus_kafe07.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo475 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
(0 votes)
flavimaculatus_kafe08.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo551 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
(0 votes)
flavimaculatus_kafe09.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo470 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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(0 votes)
flavimaculatus_kafe10.jpg
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo667 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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(0 votes)
flavimaculatus_kafe11.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo452 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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(0 votes)
flavimaculatus_kafe12.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OD598 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
(0 votes)
flavimaculatus_kafe13.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OS508 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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flavimaculatus_kafe14.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD OCT OD641 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
(0 votes)
flavimaculatus_kafe15.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD - OCT OS1091 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
(0 votes)
 
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61-year-old woman was seen in the office on October 10, 2011. She has had decreasing vision for about the last five years. She doesn’t smoke. She takes eye vitamins and fish oil. VISUAL ACUITY: OD 20/50, OS 20/200. IOP: 13 OU. SLIT EXAMINATION: There is 1+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There are pisciform lesions on the macula with some atrophy centrally. OS: Vertical C/D ratio is 0.5. There are pisciform lesions on the macula with some atrophy centrally. FUNDUS PHOTOGRAPHY: The infrared images do show areas of hypo reflectivity corresponding to pigment epithelial atrophy. FUNDUS AUTO FLUORESCENCE: The fundus auto fluorescence show areas of hyper auto fluorescence inside the pisiform lesions and the fovea unfortunately is dark centrally. SPECTRALIS-SD-OCT SCAN: The OCT scan shows retinal atrophy in the center in each eye. IMPRESSION: 1. FUNDUS FLAVIMACULATUS (STARGARDT'S DISEASE) – BOTH EYES DISCUSSION: I explained to the patient unfortunately she does have a macular dystrophy causing vision loss and retinal atrophy in each eye. At the moment there is no treatment, but there are trials started, actually right now in California for cell transplantation and maybe in a few years we will have something that can help her.