Presentation
A total of 92 eyes presented with GA. Twenty-three (23) of these (25.0%) had RPD. [ncbi.nlm.nih.gov]
[…] and presenting at a very late age of onset. [healio.com]
The choroid is thick; the Haller and Sattler's layers are present, but the caliber of blood vessels is enlarged and dilated (mainly the most outer layer) with very limited intervascular tissue. [iovs.arvojournals.org]
Entire Body System
- Falling
Falls HF. The polymorphous manifestations of Best's disease (vitelliform eruptive disease of the retina). Trans Am Ophthalmol Soc. 1969. 67:265-82. [Medline]. Krill AE, Morse PA, Potts AM, Klien BA. Hereditary vitelliruptive macular degeneration. [emedicine.medscape.com]
[…] and handheld telescopes are ideal for spotting objects at a distance. 19,20 Although dynamic visual acuity may improve with adaptation, these devices are typically recommended for use only when the patient is stationary, due to an increased risk of falling [reviewofoptometry.com]
Eyes
- Retinal Pigmentation
The hyperreflective line corresponding to the photoreceptor layer was elevated by the material and separated from the retinal pigment epithelium layer. [ncbi.nlm.nih.gov]
Accordingly, the phenotype can arise from alterations in the photoreceptors, retinal pigment epithelium, and/or interphotoreceptor matrix depending on the underlying gene defect. [unboundmedicine.com]
- Blurred Vision
A 72-year-old female affected by AOFVD complained with blurred vision and metamorphopsia in her right eye, seven months after a routinary clinical examination. [ncbi.nlm.nih.gov]
Accepted: March 17, 2008 Posted Online: March 09, 2010 Case Report A 61-year-old man was referred to our department for blurred vision. [healio.com]
Presentation - aged 40-50 years: blurred vision ± distortion of images (metamorphopsia) which may be mild to the point that this condition is often discovered by chance. [patient.info]
- Retinal Damage
For example, a test called fluorescein angiography can detect retinal damage from macular dystrophy. [allaboutvision.com]
Although treating new blood vessels may not lead to a great improvement in sight, it often helps to prevent further retinal damage from bleeding and scar tissue formation. [rnib.org.uk]
- Retinal Lesion
"Acute posterior multifocal placoid pigment epitheliopathy with unilateral retinal lesions and bilateral disk edema". American journal of ophthalmology. 1987; 104: 548 ( #150024 ) 34. Ripps H; Noble KG; Greenstein VC; Siegel IM; Carr RE. [med.nyu.edu]
Treatment
METHODS: Fifteen patients with AOFVD and 10 healthy volunteers underwent complete ophthalmic examination, including visual acuity determination (Early Treatment Diabetic Retinopathy Study charts), blue-light autofluorescence (BL-AF) analysis, near-infrared [moh-it.pure.elsevier.com]
Before delivering any treatment, we discussed treatment options with the patient’s parents. These included laser photocoagulaton, photodynamic therapy, macular translocation and anti‐VEGF injection. [onlinelibrary.wiley.com]
Put the very latest scientific and genetic discoveries, diagnostic imaging methods, drug therapies, treatment recommendations, and surgical techniques to work in your practice. [books.google.com]
Prognosis
Prognosis - there is no progression. [patient.info]
CONCLUSIONS: This study further confirms the good visual prognosis in the AOFVD eyes. Fixation stability measurement using BCEA demonstrates good evaluation of visual performance integrating traditional functional parameters. [ncbi.nlm.nih.gov]
Thus, OCT and AF findings may be helpful in following disease progression and evaluating visual prognosis. [visioncareprofessional.com]
Generally the prognosis is good. However, often the retina does become thin in the central affected area, and the sight may get slightly worse with age as the retina thins. [goodhopeeyeclinic.org.uk]
[…] for AOVM is typically good because the lesion lies in the RPE and does not involve the sensory retina. 1,2 Prognosis worsens as subretinal fluid accumulates from choroidal disruption with progression to exudative detachments. 1 Visual prognosis is directly [reviewofoptometry.com]
Etiology
The presence of different pattern dystrophies within the same family suggests a common etiologic continuum. [ncbi.nlm.nih.gov]
Etiology [ edit | edit source ] Best disease is inherited in an autosomal dominant pattern, although there can be wide phenotypic variance. [eyewiki.org]
The differential diagnosis for RPE tears include GA due to advanced AMD and various etiologies of PED; the history and corrugated appearance of RPE on OCT can differentiate these pathologies. [ophthalmologymanagement.com]
Etiology Best vitelliform dystrophy is inherited in an autosomal dominant pattern, with diminished penetrance and a highly variable expression. [eyewiki.aao.org]
Epidemiology
The 40% prevalence of RPD in consecutive patients with newly presenting AFVD in this series is much higher than reported in otherwise healthy individuals from any of the reported large epidemiological studies. [nature.com]
Journal of Ophthalmology Ocular Oncology and Pathology Oman Journal of Ophthalmology (Followers: 1) Open Journal of Ophthalmology (Followers: 3) Open Ophthalmology Journal (Followers: 1) Ophthalmic and Physiological Optics (Followers: 3) Ophthalmic Epidemiology [journaltocs.ac.uk]
Pathophysiology
Twelve (12) patients presented with identifiable angioid streaks, with 4 (36.4%) having RPD.ConclusionRPD are a frequent finding in eyes with newly presenting AFVD; not being restricted to AMD, but a finding common among diseases where pathophysiological [ncbi.nlm.nih.gov]
Comprehensively updated to reflect everything you need to know regarding retinal diagnosis, treatment, development, structure, function, and pathophysiology, this monumental ophthalmology reference work equips you with expert answers to virtually any [books.google.com]
This observation is an interesting one, in that PXE is normally an autosomal recessive genetic disease with an established pathophysiology. [nature.com]
The ratio of males to females is approximately 1:1. [1] Pathophysiology [ edit ] Mutations in the RDS and VMD2 genes cause vitelliform macular dystrophy. Mutations in the VMD2 gene are responsible for Best disease. [en.wikipedia.org]
General Pathology and Pathophysiology [ edit | edit source ] The abnormal chloride channel in the RPE leads to a buildup of lipofuscin, a retinal breakdown pigment, between the outer retina and the retinal pigment epithelium. [eyewiki.org]
Prevention
Contact Us Venue Hire Job vacancies About Us Our vision is that everyone has access to and receives high quality eye care for the prevention and treatment of eye disease in order to optimise, preserve and restore vision. [rcophth.ac.uk]
Primary prevention [ edit | edit source ] There are no recognized preventative measures. The diagnosis of Best disease is primarily made based on clinical appearance, however family history and adjunvant testing can help confirm the diagnosis. [eyewiki.org]
Our article reveals the importance of the electrophysiological exams regarding the diagnosis of BD, including the prevention of its clinical manifestation (autosomal dominant), and supplying concrete contributions to its genetic counseling. [sboportal.org.br]
Our article reveals the importance of electrophysiological exams in the diagnosis of Best vitelliform macular dystrophy, including the prevention of its clinical manifestation (autosomal dominant), providing concrete subsidies for genetic counseling. [scielo.br]
Core grant: P30EY014801 Research to Prevent Blindness Unrestricted Award. The authors have no conflicting relationship or proprietary interest in any aspect of this manuscript. [visioncareprofessional.com]