Stargardt’s macular dystrophy (Stargardt’s maculopathy, Stargardt’s disease) is an autosomal recessive condition generally characterized by early age of onset (before age 20), atrophic macular degeneration, and yellow pisciform (fish-tail-like) flecks throughout the posterior pole. Stargardt’s disease and fundus flavimaculatus are now known to be different presentations of the same disease. Classic macular findings include a beaten-bronze appearance, bull’s-eye macula, or geographic atrophy, but these are not always evident early in the disease process. Patient examination upon initial presentation may reveal a relatively normal retina, with ophthalmoscopic findings that are out of proportion with patient complaints of decreased vision. In these cases, it is often necessary to base the diagnosis on patient age at disease onset, but more importantly, on findings from fluorescein angiography. We present the case of a 39-year-old man with decreased visual acuity whose visual loss complaints and objective clinical findings were relatively unremarkable. His case is unique in that the diagnosis of Stargardt’s disease was made only after the classic dark choroids sign was noted with fluorescein angiography. This patient’s presentation is also atypical because of the late onset of symptoms.
Angela N. Musick, OD; Nathan A. Whitaker, OD, FAAO
Company: Mediconcepts, Inc
CE Credits: 1
CE Format: PDF
COPE ID: 8984-PS