Case #40 – Best Vitelliform Macular Dystrophy

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References 1. Querques, Giuseppe, Maria C. Angulo Bocco, Gisele Soubrane, and Eric H. Souied. Intravitreal Ranibizumab (Lucentis) for Choroidal Neovascularization Associated with Vitelliform Macular Dystrophy." Acta Ophthalmologica 86.6 (2008): 694-95. 2. Leu, Jorg, Norbert F. Schrage, and Robert F. Degenring. “Choroidal Neovascularisation Secondary to Best’s Disease in a 13-year-old Boy Treated by lntravitreal Bevacizumab.”

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Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a

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Comments and Conclusions • Vitelliform type lesions in a young patient support a diagnosis of Best vitelliform macular dystrophy or Best disease. • In questionable cases, Electrooculography (EOG) and genetic testing are suggested to confirm or deny the diagnosis. • Best disease, like other disorders with choriodal neovascularization, appears to be successfully treated with

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Case 4: Topcon 3D OCT Radial Scans OS In contrast, SD OCT sectIons through the macula in the left eye reveal a large fibroglial or fibrovascular scar causing the overlying retinal layers to be elevated.

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Case 4: Topcon 3D OCT Color Fundus Image OS The lesion in the patient’s left eye is further progressed and a "scrambled egg" lesion is apparent. In this stage, disruption of the photoreceptors results in reduced VA.

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Case 4: Topcon 3D OCT Color Fundus Image OD Case 4: A 14-year-old girl was presented in a previous Retina Revealed issue (RR 22) that addressed her temporal retinal detachment in her right eye only. Her BCVA measured 20/20 OD and 20/50. lOPs were 24 mmHg OU. The lesion in her right

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