Stargardt Plus Glaucoma – Page 10 of 30
Optos ResMax™ red separation image OS.
Stargardt Plus Glaucoma – Page 9 of 30
Optos ResMax™ red separation image OD.
Stargardt Plus Glaucoma – Page 8 of 30
Optos ResMax™ green separation image OS.
Stargardt Plus Glaucoma – Page 7 of 30
Optos ResMax™ green separation image OD.
Stargardt Plus Glaucoma – Page 6 of 30
Optos ResMax™ images OD and OS
Stargardt Plus Glaucoma – Page 5 of 30
Optomap® color fundus image of left eye Similar retinal lesions are observed in the left eye but the C/D ratio is approx. .8 with an inferior temporal notch. There are also 3 dark zones superiorly which are shadows cast by dense posterior capsule lens opacities superior to the visual axis as observed with slit
Stargardt Plus Glaucoma – Page 4 of 30
Optomap® color fundus image of right eye Note the large macula lesion with pigment atrophy and hypertrophy, the widespread deep retinal lesions or "flecks" and the approx. .65 C/D ratio.
Stargardt Plus Glaucoma – Page 3 of 30
History/Chief Complaint A 46 year old Hispanic high school math teacher presented for follow-up for Stargardt's macula degeneration diagnosed decades earlier and normal tension glaucoma more recently detected. One sister had Stargardt's macula degeneration and another had glaucoma. Alphagan TID OU, Travatan qhs OU and two selective laser trabeculectomies (SLTs) OU have recently lowered IOPs
Stargardt Plus Glaucoma – Page 2 of 30
Multiple Etiologies of Vision Loss The Optos® fly through is particularly helpful for patient education in demonstrating the extent and location of retinal abnormalities.
Stargardt Plus Glaucoma – Page 1 of 30
When a patient is diagnosed with a progressive and untreatable retinal degeneration, follow-up exams usually emphasize optimal vision correction and various low vision aids. Some patients with an untreatable retinal degeneration may also develop a treatable disorder but the latter diagnosis may be delayed and hampered by the former. In this week's case, a