Macular Disease Resembling Adult Foveomacular Vitelliform Dystrophy in Older Adults

Dean B. Burgess, R. Joseph Olk, Linda M. Uniat

Research output: Contribution to journalArticlepeer-review

39 Scopus citations

Abstract

Fifty-three eyes of 31 patients over age 50 with macular disease were reviewed. Clinical appearance of the macula was of two types: (1) a yellow slightly elevated lesion (29 eyes) and (2) a pigmented flat lesion with surrounding atrophy (24 eyes). Drusen were found in 60% of affected eyes. No familial tendencies were documented. A reduced electro-oculogram (EOG) was present in approximately 50% of all eyes tested. Fluorescein angiographic findings and differential diagnosis are described. Visual prognosis was markedly different for the two groups: 69% of eyes with yellow elevated lesions lost two or more lines of visual acuity and 48% went on to visual acuity equal to or less than 20/200, whereas 33% of eyes with pigmented flat lesions lost two or more lines of visual acuity and 8% went on to visual acuity equal to or less than 20/200.

Original languageEnglish
Pages (from-to)362-366
Number of pages5
JournalOphthalmology
Volume94
Issue number4
DOIs
StatePublished - 1987

Keywords

  • adult foveomacular vitelliform dystrophy
  • age-related macular degeneration
  • macular disease
  • pattern dystrophy
  • pigmented flat lesions
  • yellow elevated lesions

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