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Pattern dystrophies – In a 65-year-old woman with PD, OCT shows bilateral macular atrophy (left worse than right eye) and significant loss of RPE and Bruch membrane
Sep 17 2024 by Nicolas A Yannuzzi, MD
Visual acuity was 20/20 OD and 20/60 OS. Genetics testing showed multiple variants of unknown significance in PEX1, PRPH2, TTLL5, and WFS1. (Images courtesy of Byron L. Lam, MD)
Condition/keywords: inherited retinal disease, pattern dystrophy
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Pattern dystrophies – OCT demonstrates significant RPE irregularities and multiple focal inner segment-outer segment (IS-OS) disruptions with overlying cystic changes in both eyes of a 60-year-old man with PD
Sep 17 2024 by Nicolas A Yannuzzi, MD
Visual acuity was 20/20 OD and 20/25 OS. Genetic testing showed only 1 pathogenic variation in ABCA4, which is atypical for STGD1 Stargardt disease that is inherited in autosomal recessive fashion. (Images courtesy of Byron L. Lam, MD)
Condition/keywords: inherited retinal disease, pattern dystrophy
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Pattern dystrophies – A 44-year-old man presented with PRPH2 (p.Gln239Ter)-related PD
Sep 17 2024 by Nicolas A Yannuzzi, MD
He had a significant family history of dominant macular dystrophy. OCT images demonstrate intraretinal fluid and disruption of the retinal layers in both eyes. Additionally, vitelliform material can be seen in the right eye and an area of choroidal protrusion in the left. (Images courtesy of Byron L. Lam, MD)
Condition/keywords: inherited retinal disease, pattern dystrophy
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Pattern dystrophies – Asymptomatic middle-aged man with normal vision and a multifocal PD
Sep 17 2024 by Nicolas A Yannuzzi, MD
The PD simulates Stargardt disease/fundus flavimaculatus with irregular yellow-white flecks scattered throughout the posterior pole. Some lesions extend beyond the retinal vascular arcades.
Condition/keywords: inherited retinal disease, pattern dystrophy