[Bilateral loss of vision in an 11-year-old]

Ophthalmologe. 2010 Sep;107(9):848-51. doi: 10.1007/s00347-010-2168-x.
[Article in German]

Abstract

We present the case of an 11-year-old girl with continuously progressive loss of vision. Fundoscopy revealed a picture consistent with Stargardt's disease and fundus flavimaculatus. This article provides a short overview of differential diagnoses worth considering in children and adolescents who present with a similar picture. After our initial workup, genetic chip analysis of the ABCA4 gene was performed, which yielded a heterozygous mutation. Because a second mutation could likely have been on a part of the gene not screened by chip analysis, and in light of the striking picture, a clinical diagnosis of Stargardt's disease was made.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Abnormalities, Multiple* / diagnosis
  • Acrocallosal Syndrome / diagnosis
  • Agenesis of Corpus Callosum*
  • Blindness
  • Child
  • Diagnosis, Differential
  • Female
  • Humans
  • Macular Degeneration* / diagnosis

Supplementary concepts

  • Stargardt Macular Degeneration Absent or Hypoplastic Corpus Callosum Mental Retardation and Dysmorphic Features