Central areolar choroidal dystrophy: A case report

✍ Scribed by Claire Angel Moody; O.D

• Publisher: Elsevier Science
• Year: 1998
• Tongue: English
• Weight: 1003 KB
• Volume: 10
• Category: Article
• ISSN: 0953-4431
• DOI: 10.1016/s0953-4431(97)10028-5

✦ Synopsis

Central Areolar Choroidal Dystrophy (CACD) is a rare, bilateral disorder often challenging to diagnose because of the many chorioretinal conditions with similar funduscopic findings. It is characterized by a circumscribed area of atrophy in the macular region. Fluorescein angiography reveals normal choroidal filling with obvious hyperfluorescence in the areas of RPE atrophy. Visual field defects are evidenced by a well-demarcated area of central loss. Autosomal dominant, autosomal recessive and sporadic cases have been reported. An 81-year-old white female presented to our clinic with a chief complaint of gradual vision loss over the past 3 decades. After ophthalmoscopic examination and visual field testing, a diagnosis of CACD was made. In addition to a discussion of this case, an outline of the characteristics, inheritance patterns, differential diagnoses and management of CACD is included.