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Stargardt Disease

Description

Currently, fundus flavimaculatus (FF) and Stargardt Disease (SD) are terms that can be used to name a heterogeneous group of hereditary retinal disorders caused by mutations in the same gene, ABCA4, which has an autosomal recessive inheritance pattern. Up to 6% of the population has different mutations in this gene in at least one of their two chromosomes 1, which confers the different clinical phenotypes. Most patients experience central vision loss during the first two decades of life.

Comments

Indication

A 55-year-old male comes to the office for a check-up of his SD, diagnosed at age 20 following the onset of progressive central vision loss, which progressed significantly between ages 20 and 25. Family history includes a brother affected by SD and two other siblings without pathology. The corrected visual acuity is 0 “1 in the right eye and 0” 2 in the left eye (decimal scale, Snellen), and the fundus examination reveals the presence of macular retinal pigment epithelium atrophy in both eyes, as well as the presence of flecks in the posterior pole (figures 1 to 5). In the autofluorescence images (figures 5 and 6), the extent of the lesions can be seen in greater detail, and this is a useful tool for monitoring their evolution.