Dr.RAVINA TODI

Dr. HEMENDRA SINGH, DR. TANMAY SRIVASTAV, Dr. DEEPAK MISHRA

Abstract

AIM:To demonstrate ophthalmological characteristics of stargardt disease in 15 year young male. Estimated incidence for disease is 1 in 10,000 live births.METHODS:Child presented with bilateral painless

progressive loss of vision for 5 years. Family history was

insignificant. Measurement of visual acuity, slit-lamp ,fundus

examination, OCT and FFA were done. RESULTS: BCVA was 6/36 in both eyes with no

anterior segment abnormalities. Examination of the fundus revealed

the existence of bilateral discrete rounded yellowish macular flecks

with major macular atrophy. OCT showed

atrophic changes in the photoreceptors and RPE. On FFA, there was complete masking of the choroidal circulation

giving appearance of silent choroid.CONCLUSION: Stargardt disease is one of the most common causes of

inherited childhood visual impairment. Subsequent follow-ups and low vision aids should be prescribed in order to carry out routine chores.