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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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4/2007
vol. 109
 
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abstract:
Original paper

Optical coherence tomography in diagnosing adult-onset vitelliform macular dystrophy

Edward Wylęgała
1
,
Anita Lysek-Boroń
1
,
Sławomir J. Teper
1
,
Jarosław Piłat
1
,
Jolanta Łogiewa-Toborek
1
,
Dorota Tarnawska
1

  1. Z Oddziału Okulistycznego Okręgowego Szpitala Kolejowego w Katowicach
Klinika Oczna 2007, 109 (4): 438-442
Online publish date: 2007/12/20
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Purpose
To assess usefulness of optical coherence tomography (OCT) in adult-onset vitelliform macular dystrophy (AVMD) diagnosis. To assess retinal pathological changes during all stages of the disease.

Material and methods
Retrospective case-series report. 16 patients (9 men, 7 women, mean age 60.25), with vitelliform macular dystrophy, who underwent ophthalmic examination including optical coherence tomography (OCT Stratus III, Zeiss Meditec, CA, USA) in 2005 and 2006. Retinal Thickness Map and Fast Retinal Thickness Map Acquisition Protocols were used during OCT scanning. Patients were evaluated with ETDRS charts, biomicroscopy, fluorescein angiography and electrophysiological exams.

Results
7 patients (44%) were referred to our outpatient clinic with diagnosis of macular hole, 7 patients (44%) with diagnosis of AMD. In 2 patients Best disease was suspected. Diagnosis of AVMD was possible to establish in all patients including medical history, fundus photography and OCT.

Conclusions
OCT enables retinal morphology assessment and can be treated as the basis of adult-onset vitelliform macular dystrophy early evaluation, diagnosis differentiation and monitoring progression.

keywords:

Adult-onset vitelliform macular dystrophy, AVMD, optical coherence tomography, OCT

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