top of page
Patient Presentation: A 23-year-old obese female was diagnosed with idiopathic intracranial hypertension (IIH) and referred to neurosurgery for ventriculoperitoneal shunt. A baseline ocular examination was performed prior to the procedure.
On examination, vision was 20/200 in the right eye, and 20/40 in the left eye. There was a right relative afferent pupillary defect. Slit lamp examination was normal.
A dilated fundus examination was performed demonstrating the following:
Patient Presentation: A 14-year-old male was referred to a paediatric ophthalmology clinic for decreased vision in both eyes over the past 2 years. The patient denied previous red eye or visual field deficit. There was no past medical, ocular or family history of eye disease. Best corrected distance visual acuity was 20/100 OD and 20/150 OS. IOP was 12 OD and 13 OS; there was no RAPD. Fundus photos and OCT macula images were taken and are shown below:
Question 1: What is the main finding in the OCT macula images above?
Fundus autofluorescence images were also conducted and are shown below:
Question 2: Based on the fundus photos, OCT, and fundus autofluorescence images, what is the most likely diagnosis?
Question 3: What gene is implicated in typical Stargardt’s disease?
Understand the presenting signs of Stargardt’s disease
Learn the pathophysiology and genetic cause of Stargardt’s disease
bottom of page