Adult Onset Best Vitelliform Macular Dystrophy: A Case Report

Authors

  • Sharad Gupta Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal https://orcid.org/0000-0001-8654-5172
  • Hari Sharma Dristi Eye Hospital, Birgunj , Nepal
  • Reena Yadav Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal
  • Sanjay Kumar Singh Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal
  • Sushma Chaudhary Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Keywords:

Best disease, Fundus fluorescence angiography, Optical coherence tomography

Abstract

Introduction: Best disease or vitelliform macular dystrophy is a rare autosomal dominant disorder with bilateral presentation characterized by subretinal accumulation of yellowish material in the macular area. Macular findings range from a small yellow spot, multiple vitelliform or atrophic lesions to a chorio-retinal scar.

Case report: A 35 years male presented to our outpatient department with chief complaint of blurring of vision of both eyes for the past three months. His visual acuity was 6/12 in both right and left eyes. On slit-lamp bio-examination anterior segments of both eyes were normal. On fundus examination, both eyes revealed a single, circular, yellow-opaque egg yolk-like macular lesion with no other abnormalities. Optical coherence tomography of both eyes revealed deposits of homogenous hyper- reflective material beneath retinal pigment epithelium at fovea. Fundus fluorescence angiography showed blocked fluorescence at the site of vitelliform lesion of both eyes.

Conclusion: Best vitelliform macular dystrophy is a rare genetic disorder with incomplete penetrance. Optical coherence tomography and fundus fluorescence angiography support the diagnosis.

Downloads

Download data is not yet available.
Abstract
36
PDF
33

Author Biographies

Sharad Gupta, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Consultant Ophthalmologist

Hari Sharma, Dristi Eye Hospital, Birgunj , Nepal

Consultant Ophthalmologist

Reena Yadav, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Consultant Ophthalmologist

Sanjay Kumar Singh, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Consultant Ophthalmologist

Sushma Chaudhary, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Optometrist

Cover JLMC

Downloads

Published

2020-05-21

How to Cite

Gupta, S., Sharma, H., Yadav, R., Singh, S. K., & Chaudhary, S. (2020). Adult Onset Best Vitelliform Macular Dystrophy: A Case Report. Journal of Lumbini Medical College, 8(1), 89–91. Retrieved from https://www.nepjol.info/index.php/JLMC/article/view/40717

Issue

Vol. 8 No. 1 (2020)

Section

Case Reports

License

Copyright (c) 2020 Sharad Gupta, Hari Sharma, Reena Yadav, Sanjay Kumar Singh, Sushma Chaudhary

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The Journal of Lumbini Medical College (JLMC) publishes open access articles under the terms of the Creative Commons Attribution(CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

JLMC requires an exclusive licence allowing to publish the article in print and online.

The corresponding author should read and agree to the following statement before submission of the manuscript for publication,

License agreement
In submitting an article to Journal of Lumbini Medical College (JLMC) I certify that:

  1. I am authorized by my co-authors to enter into these arrangements.
  2. I warrant, on behalf of myself and my co-authors, that:
    • the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
    • I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to JLMC are not in breach of any other obligation;
    • the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
    • I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.
  3. I, and all co-authors, agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0. If the law requires that the article be published in the public domain, I/we will notify JLMC at the time of submission, and in such cases the article shall be released under the Creative Commons 1.0 Public Domain Dedication waiver. For the avoidance of doubt it is stated that sections 1 and 2 of this license agreement shall apply and prevail regardless of whether the article is published under Creative Commons Attribution License 4.0 or the Creative Commons 1.0 Public Domain Dedication waiver.
  4. I, and all co-authors, agree that, if the article is editorially accepted for publication in JLMC, data included in the article shall be made available under the Creative Commons 1.0 Public Domain Dedication waiver, unless otherwise stated. For the avoidance of doubt it is stated that sections 1, 2, and 3 of this license agreement shall apply and prevail.

Please visit Creative Commons web page for details of the terms.