Dr.Monika Dahiya

Dr.Satvir Singh, Dr. MANISHA NADA, Dr. JITENDER KUMAR

Abstract

Best vitelliform macular dystrophy (VMD) is a hereditary, childhood onset macular dystrophy which is rarely associated with CNVM formation. We report a case of 10 year old boy presenting to us with inability to read at blackboard from past 3 months. Diminution of vision was painless and gradually progressive with no other significant ocular or medical history. His BCVA was 6/60 in right eye and 6/36 in left eye. Pupillary reactions were normal with full and painless ocular movements bilaterally. B/L anterior segments were essentially normal. On dilated fundus examination, both eyes had yellow, well circumscribed, round subretinal lesion over macular area suggestive of vitelliform stage of VMD. On OCT, Type 1 CNVM was seen in both eyes with SRF and significant macular edema in right eye. The child was diagnosed as B/L CNVM secondary to Best’s Vitelliform Dystrophy. CNVM in Best VMD is quite rare at such young age which can lead to irreversible loss of vision if not treated on time.