Fundus Flavimaculatus - Stargardt Macular Dystrophy
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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.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence odvista 2235 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence odvista 1283 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence osvista 1689 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence osvista 1364 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photovista 1771 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(1 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photovista 1203 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photovista 949 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photovista 1075 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photovista 981 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photovista 1418 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photovista 1048 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image ODvista 1231 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OSvista 1088 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD OCT ODvista 1317 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD - OCT OSvista 2094 veces61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
(0 votos)
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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.
