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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.

flavimaculatus_kafe01.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence od2162 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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flavimaculatus_kafe02.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence od1214 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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flavimaculatus_kafe03.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence os1631 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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flavimaculatus_kafe04.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence os1333 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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flavimaculatus_kafe05.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1675 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
55555
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flavimaculatus_kafe06.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1144 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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flavimaculatus_kafe07.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo905 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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flavimaculatus_kafe08.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1011 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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flavimaculatus_kafe09.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo937 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
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flavimaculatus_kafe10.jpg
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1327 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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flavimaculatus_kafe11.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo994 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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flavimaculatus_kafe12.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OD1146 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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flavimaculatus_kafe13.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OS1012 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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flavimaculatus_kafe14.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD OCT OD1263 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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flavimaculatus_kafe15.png
Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD - OCT OS1987 x angesehen61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.

Pisciform Lesions and Macular Atrophy
00000
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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.