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Fig. 3.

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Fig. 3. A representative case showing initial and final findings of a patient diagnosed with Stargardt disease. A 20-year-old woman visited the hospital complaining of decrease in visual acuity in both eyes. The visual acuity was 0.5 in the right eye and 0.8 in the left eye. On fundus examination (A, B), a central atrophic lesion with surrounding small yellowish flecks was noted in the macular region. Optical coherence tomography (C, D) showed degeneration of the retinal structure. On fluorescein angiography (E, F), hyperfluorescence was noted in the central macular region due to a window defect. In addition, a characteristic ‘choroidal silence’ feature was noted. Based on these findings, the patient was diagnosed with Stargardt disease. At 68 months after initial presentation (G, H), enlargement of the atrophic lesion and flecks were noted with an accompanying decrease in visual acuity to 0.1 in the right eye and 0.6 in the left eye.
J Retin 2021;6:14-20 https://doi.org/10.21561/jor.2021.6.1.14
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