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Stargardt's disease

✍ Scribed by Maija Mäntyjärvi; Kaija Tuppurainen


Book ID
104648975
Publisher
Springer-Verlag
Year
1992
Tongue
English
Weight
560 KB
Volume
79
Category
Article
ISSN
0012-4486

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✦ Synopsis


Three families including seven members with Stargardt's disease were examined. In addition to the affected family members, 43 of the relatives had an eye examination. In one family, there was a consanguineous marriage to be found. The heredity was most probably autosomal recessive in all of the three families. Theages of the seven patients with Stargardt's disease varied from 13 to 50 years, visual acuities from 0.05 to 1.0, and refraction from -8.5 to +2.25 D. In fundus, absent foveal reflex, atrophic macular spots and yellow perimacular flecks could be observed; one patient had also yellow flecks in the peripheral retina. In the visual fields, a central scotoma was found in five patients. Dark adaptation was abnormal in three patients and electroretinogram in one patient. All of the patients had defective red colour vision. In the fluoresceinangiogram, hyperfiuorescent macular spots and dark choroid could be observed. The ophthalmological findings are discussed comparing them to the earlier observations of this disease.


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A retrospective study was performed comparing the ERG results of 15 patients with Stargardt's disease and fundus flavimaculatus. Patients with fundus flavimaculatus had "fishtail" lesions with or without macular changes, while the Stargardt's group had macular atrophy without fish-tail flecks. The m