TY  - JOUR
T1  - Late-Onset Stargardt disease; a clinical condition may be misdiagnosed: a case report
A1  - Esmaeil Babaei
A1  - Mohammad Shirvani
A1  - Laleh Salehi
A1  - Mohsen Gohari
JF  - Journal of Advanced Pharmacy Education and Research
JO  - J Adv Pharm Educ Res
SN  - 2249-3379
Y1  - 2023
VL  - 13
IS  - 2
DO  - 10.51847/FDIEB0V59X
SP  - 128
EP  - 130
N2  - Stargardt disease (SD) is a rare condition primarily represented by a progressive visual acuity impairment. This macular dystrophy has a wide clinical spectrum leading to a false diagnosis and may be neglected.  We report a case of late-onset SD that was misdiagnosed to raise awareness of ophthalmologists about SD special in patients without fundus abnormalities. A 35-year-old female presented with progressive bilateral vision loss from 2 years ago. She had a medical history of photorefractive keratectomy (PRK) 5 years prior to presentation. All retinal and corneal medical records before PRK were normal. In the retinal exam, bilateral numerous sub-retinal yellow deposits were seen in the fovea. Optical coherence tomography showed retinal thinning and retinal pigment epithelium irregularity of fovea. Fluorescein angiography revealed a dark choroid pattern. SD is typically described in young patients but may develop later in adulthood and masquerade other macular dystrophies. We recommend referring children and young adults with ambiguous visual complaints without initial fundus abnormalities to a specialized ophthalmologic center‎.
UR  - https://japer.in/article/late-onset-stargardt-disease-a-clinical-condition-may-be-misdiagnosed-a-case-report-0hkozw6kyhy3bgu
ER  -