Ellipsoid zone changes in a patient with adult-onset foveomacularvitelliform dystrophy
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 2
Abstract
Abstract: We present a case of adult-onset foveomacular vitelliform dystrophy (AFMVD) in a 73-year-old man. Fundus examination revealed subretinal depositions of yellowish material within themacula in both eyes. During the 6-month follow-up period, the best corrected visual acuity (BCVA) in the right eye gradually deteriorated from 0.9 to 0.5. On optical coherence tomography (OCT), vitelliruptive degeneration and disruption of the photoreceptor inner segment/outer segment interface (ellipsoid zone) gradually developed in the right eye. We speculate that progression in the ellipsoid zone status and changes in lesion reflectivity were accompanied by a significant BCVA reduction between the initial and last visits. Keywords: adult-onset foveomacularvitelliform dystrophy, optical coherence tomography, ellipsoid zone, natural course
Authors and Affiliations
Katsuhisa Endoh, Shinji Makino
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