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Kirkegaard-Biosca E, Berges-Marti M, Azarfane B, Cilveti E, Distefano L, García-Arumí J. Fundus flavimaculatus-like in myotonic dystrophy: a case report. BMC Ophthalmol 2021; 21:240. [PMID: 34051736 PMCID: PMC8164789 DOI: 10.1186/s12886-021-02002-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 05/19/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Myotonic dystrophy is an inherited disease characterized by progressive muscle weakness and myotonia. It is a multisystemic disorder that affects different parts of the body, including the eye. Dysfunction of ocular muscles, ptosis and cataract are the most common ophthalmologic manifestations, but it can also present with pigmentary changes in the retina. This report presents and discusses an unusual case of a pigmented pattern dystrophy simulating a fundus flavimaculatus in a patient with myotonic dystrophy. CASE PRESENTATION We present a case of a woman with a history of myotonic dystrophy and complaints of progressive vision loss who presented bilateral retinal pigmentary changes in posterior pole and midperiphery. The characteristics and distribution of pigmented deposits, as well as ancillary tests, showed a retinal phenotype compatible with a multifocal pattern dystrophy or a fundus flavimaculatus. CONCLUSIONS There are a few publications about retinal disorders in patients with myotonic dystrophy. When macular area is affected it tends to adopt a patterned-shape defined as butterfly dystrophy or reticular dystrophy. To our knowledge, this is the first report of a patient with myotonic dystrophy and multifocal pattern dystrophy or fundus flavimaculatus.
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Affiliation(s)
| | | | - Brahim Azarfane
- Ophthalmology Department, Vall d'Hebron Hospital, Barcelona, Spain
| | - Esther Cilveti
- Ophthalmology Department, Vall d'Hebron Hospital, Barcelona, Spain.,Ophthalmology Department, Moises Broggi Hospital, Barcelona, Spain
| | - Laura Distefano
- Ophthalmology Department, Vall d'Hebron Hospital, Barcelona, Spain
| | - Jose García-Arumí
- Ophthalmology Department, Vall d'Hebron Hospital, Barcelona, Spain.,Department of Retina and Vitreous, Instituto de Microcirugía Ocular (IMO), Barcelona, Spain
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Wang J, Tan J, Snibson K, Cham KM. Optical coherence tomography angiography findings in a case of adult‐onset vitelliform dystrophy. Clin Exp Optom 2021; 102:341-342. [DOI: 10.1111/cxo.12841] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 08/08/2018] [Accepted: 08/24/2018] [Indexed: 11/30/2022] Open
Affiliation(s)
- Joe Wang
- The University of Melbourne Eyecare, Melbourne, Victoria, Australia,
| | - Jessie Tan
- Department of Optometry and Vision Sciences, The University of Melbourne, Melbourne, Victoria, Australia,
| | - Kent Snibson
- The University of Melbourne Eyecare, Melbourne, Victoria, Australia,
| | - Kwang Meng Cham
- Department of Optometry and Vision Sciences, The University of Melbourne, Melbourne, Victoria, Australia,
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Palácios RM, Mendes TS, Sano RY, Wu DC, Aihara T, de Almeida Manzano RP. Choroidal thickness using EDI-OCT in adult-onset vitelliform macular dystrophy. Int J Retina Vitreous 2016; 2:5. [PMID: 27847623 PMCID: PMC5088490 DOI: 10.1186/s40942-016-0031-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2015] [Accepted: 01/20/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To compare choroidal thickness in patients with adult-onset foveomacular vitelliform dystrophy (AOFVD) with healthy subjects and to correlate choroidal thickness with age, gender and spherical equivalent. METHODS A prospective, observational study of 37 eyes (15 eyes in AOFVD group and 22 eyes in control group) was conducted. Images were acquired by enhanced depth imaging optical coherence tomography (EDI-OCT). Choroidal thickness measurements were performed in the subfoveal region and at 500, 1000 and 1500 µm intervals from the foveal center to nasal and to temporal regions for subsequent averaging of values. RESULTS The AOFVD group consisted of four male eyes (28.6 %) and 10 female eyes (71.4 %); age was 33-62 years; spherical equivalent (SE) ranged from -1.50 to 1.50 spherical diopters (SD); mean subfoveal thickness was 325.6 µm, ranging from 186 to 420 µm; and the average of thicknesses was 309.4 µm, ranging from 188 to 413 µm. The control group consisted of 12 male eyes (54.5 %) and 10 female eyes (45.5 %); age was 27-62 years; SE ranged from -2.50 to 0.50 SD; subfoveal thickness was 294.8 µm, ranging from 213 to 481 µm; and the average of thicknesses was 279.4 µm, ranging from 201 to 458 µm. CONCLUSIONS The AOFVD group and the control group showed similar choroidal thickness by correcting for age, SE and gender. Not yet known, completely, which biochemical and vascular flow alterations of the choroid, and which functional RPE changes may play a role in the pathogenesis of this disease. EDI-OCT, incorporated in some SD-OCT devices, allows higher quality assessment of the choroid. In this article, choroidal thickness of patients with AOFVD, a rare disease with a not fully understood pathogenesis, was assessed.
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Affiliation(s)
- Renato Menezes Palácios
- Department of Ophthalmology - Retina, Irmandade da Santa Casa de Misericordia de São Paulo, Rua Martinico Prado, 159 - apto 63, São Paulo, SP CEP 01224-010 Brazil
| | - Thaís Sousa Mendes
- Department of Ophthalmology - Retina, Irmandade da Santa Casa de Misericordia de São Paulo, Rua Martinico Prado, 159 - apto 63, São Paulo, SP CEP 01224-010 Brazil
| | - Ronaldo Yuiti Sano
- Department of Ophthalmology - Retina, Irmandade da Santa Casa de Misericordia de São Paulo, Rua Martinico Prado, 159 - apto 63, São Paulo, SP CEP 01224-010 Brazil
| | - Davi Chen Wu
- Department of Ophthalmology - Retina, Irmandade da Santa Casa de Misericordia de São Paulo, Rua Martinico Prado, 159 - apto 63, São Paulo, SP CEP 01224-010 Brazil
| | - Teruo Aihara
- Department of Ophthalmology - Retina, Irmandade da Santa Casa de Misericordia de São Paulo, Rua Martinico Prado, 159 - apto 63, São Paulo, SP CEP 01224-010 Brazil.,Ophthalmology, Santa Casa de Sao Paulo School of Medical Sciences, São Paulo, SP Brazil
| | - Roberta Pereira de Almeida Manzano
- Department of Ophthalmology - Retina, Irmandade da Santa Casa de Misericordia de São Paulo, Rua Martinico Prado, 159 - apto 63, São Paulo, SP CEP 01224-010 Brazil
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Elkhoyaali A, Chatoui S, Bercheq N, Elouatassi N, Zerrouk R, Elasri F, Reda K, Oubaaz A. [Choroidal neovascularization complicating Best's vitelliform macular dystrophy in a child]. J Fr Ophtalmol 2015; 39:69-73. [PMID: 26707756 DOI: 10.1016/j.jfo.2015.05.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2015] [Revised: 04/21/2015] [Accepted: 05/15/2015] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Best's disease is a progressive macular dystrophy, beginning either in childhood or adolescence. CASE STUDY We report a rare case of choroidal neovascularization complicating vitelliform dystrophy in a child of 8 years with bilateral progressive loss of visual acuity. The ophthalmoscopic examination showed vitelliform lesions in both foveas. Fluorescein angiography confirmed a subretinal neovascular membrane in the left eye. Additional testing also confirmed the diagnosis of Best's disease associated with choroidal neovascularization. DISCUSSION Best's vitelliform macular dystrophy is often asymptomatic because visual acuity tends to remain stable for a long time. A sudden loss of vision suggests the occurrence of complications, such as choroidal neovascularization.
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Affiliation(s)
- A Elkhoyaali
- Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V Rabat, Hay Ryad, 10100 Rabat, Maroc.
| | - S Chatoui
- Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V Rabat, Hay Ryad, 10100 Rabat, Maroc
| | - N Bercheq
- Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V Rabat, Hay Ryad, 10100 Rabat, Maroc
| | - N Elouatassi
- Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V Rabat, Hay Ryad, 10100 Rabat, Maroc
| | - R Zerrouk
- Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V Rabat, Hay Ryad, 10100 Rabat, Maroc
| | - F Elasri
- Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V Rabat, Hay Ryad, 10100 Rabat, Maroc
| | - K Reda
- Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V Rabat, Hay Ryad, 10100 Rabat, Maroc
| | - A Oubaaz
- Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V Rabat, Hay Ryad, 10100 Rabat, Maroc
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Moon SW, Lee HY, Yun IH, Lim SH. A Case of Adult-Onset Vitelliform Dystrophy Treated with Intravitreal Injection of Bevacizumab. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2014. [DOI: 10.3341/jkos.2014.55.7.1093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Sang Woo Moon
- Department of Ophthalmology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
- Therapeutics Center for Ocular Neovascular Disease, Busan, Korea
| | | | - Il Han Yun
- Department of Ophthalmology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
| | - Sung Hyup Lim
- Department of Ophthalmology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
- Therapeutics Center for Ocular Neovascular Disease, Busan, Korea
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RANIBIZUMAB FOR CHOROIDAL NEOVASCULARIZATION ASSOCIATED WITH ADULT-ONSET FOVEOMACULAR VITELLIFORM DYSTROPHY. Retina 2013; 33:513-21. [DOI: 10.1097/iae.0b013e3182753adb] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Rodman J, Duchnowski E. Optical coherence tomography in adult-onset vitelliform dystrophy. ACTA ACUST UNITED AC 2011; 82:148-51. [DOI: 10.1016/j.optm.2010.07.027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2010] [Revised: 06/11/2010] [Accepted: 07/13/2010] [Indexed: 10/18/2022]
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Dale EA, Hood DC, Greenstein VC, Odel JG. A comparison of multifocal ERG and frequency domain OCT changes in patients with abnormalities of the retina. Doc Ophthalmol 2009; 120:175-86. [PMID: 20043188 DOI: 10.1007/s10633-009-9210-9] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2009] [Accepted: 12/12/2009] [Indexed: 11/25/2022]
Abstract
To compare the ability of the multifocal electroretinogram (mfERG) and frequency domain optical coherence tomography (fdOCT) to detect retinal abnormalities. A total of 198 eyes (100 patients) were referred by neuro-ophthalmologists to rule out a retinal etiology of visual impairment. All patients were evaluated with static automated perimetry (SAP) (Humphrey Visual Field Analyzer; Zeiss Meditec), mfERG (Veris, EDI) and fdOCT (3D-OCT 1000, Topcon). The mfERG was performed with 103 scaled hexagons and procedures conforming to ISCEV standards (Hood DC et al. (2008) Doc Ophthalmol 116(1):1-11). The fdOCT imaging included horizontal and vertical line scans through the fovea. Local mfERG and fdOCT abnormalities were compared to local regions of visual field sensitivity loss measured with SAP and categorized as normal/inconclusive or abnormal. 146 eyes were categorized as normal retina on both fdOCT and mfERG. The retina of 52 eyes (36 patients) was categorized as abnormal based upon mfERG and/or fdOCT. Of this group, 25 eyes (20 patients) were abnormal on both tests. However, 20 eyes (13 patients) were abnormal on mfERG, while the fdOCT was normal/inconclusive; and 7 eyes (7 patients) had normal or inconclusive mfERG, but abnormal fdOCT. Considerable disagreement exists between these two methods for detection of retinal abnormalities. The mfERG tends to miss small local abnormalities that are detectable on the fdOCT. On the other hand, the fdOCT can appear normal in the face of clearly abnormal mfERG and SAP results. While improved imaging and analysis may show fdOCT abnormalities in some cases, in others early damage may not appear on structural tests.
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Affiliation(s)
- Elizabeth A Dale
- Department of Psychology, Columbia University, 405 Schermerhorn, New York, NY 10027, USA
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