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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 od1318 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 od834 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 os1082 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 os904 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 Photo1109 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 Photo736 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 Photo567 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 Photo648 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 Photo605 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_kafe10.jpg
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo828 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_kafe11.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo609 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_kafe12.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OD737 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 OS660 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_kafe14.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD OCT OD761 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 OS1288 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.