1. History
  2. Exam
  3. Photos
  4. Diagnosis
  5. Teaching Points

Case 116 Teaching Points

  • Presents in 30-40’s with numerous small translucent drusen that appear like a starry sky on early fluorescein angiogram
  • May also have vitelliform macular detachment with early blockage and late staining
  • Patients usually are asymptomatic until vitelliform detachment occurs
  • Often misdiagnosed as choroidal neovascular membrane
  • Requires no treatment. Macular vitelliform detachment usually resolves spontaneously with or without central retinal pigment epithelium atrophy


Deutman AF, Hoyng CB, van Lith-Verhoeven JJC.  Macular dystrophies.  In: Ryan SJ, ed, Retina, Vol II, 4th ed, 2006. pp 1191-1193.

Gass JDM.  Stereoscopic Atlas of Macular Diseases: Diagnosis and Treatment, 2nd ed.  Mosby:St. Louis, 1977.

Gass JDM, Jallow S, Davis B.  Adult vitelliform macular detachment occurring in patients with basal laminar drusen.  Am J Ophthalmol 1985;99:445-459.

Last Modified: Wednesday, 28-May-2008 13:24:37 EDT