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

References

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