Retina

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Case 41

Patient Presentation: A 6-year-old asymptomatic male was referred for bilateral macular lesions. Visual acuity was 20/30 –2 OD and 20/25 -2 OS. Fundus photo and OCT OU were performed and shown below.

Question: What is the main abnormality see on the patient's OCT images?

Question: What important question should you ask?

Question: What is the best next step?

Question: What is the most likely diagnosis?

Question: What stage of Best Vitelliform Macular Dystrophy is shown in this case?

Question: How should this patient be managed?

References:​

1.Parodi MB, Iacono P, Romano F, Bandello F. Spectral domain optical coherence tomography features in different stages of best vitelliform macular dystrophy. Retina. 2018 May 1;38(5):1041-6. 

Learning Objectives:

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1. To recognize and diagnose BVMD on OCT and fundoscopy

2. To understand the management plan for patients with BVMD and their families