Abstract
<p>The purpose of this case report was to characterize adult foveomacular vitelliform dystrophy (AOFVD), and to establish the main differential diagnoses of this disorder. Adult vitelliform dystrophy was first defined by Gass in 1974 to describe a clinical entity of autosomal dominant inheritance and adult onset. It is characterized by the bilateral presence of subfoveal rounded yellowish lesions. The classic angiographic image is a ring-shaped hyperfluorescence surrounding a central hypofluorescent area. It presents clinical and electrophysiological characteristics that allow establishing the differential diagnosis with other pathologies, which is important, as sometimes it can be misdiagnosed as age-related macular degeneration, among others. Also, it corresponds to a disease that leads to low vision, so the diagnosis is important for timely treatment.</p>References
Orozco LP, Castellanos CG, Hernández L. Distrofias del epitelio pigmentario de la retina en patrón. Cirug Ciruj. 2009;77(1): 73-83. Disponible en: https://biblat.unam.mx/es/revista/cirugia-y-cirujanos/articulo/distrofias-del-epitelio-pigmentario-de-la-retina-en-patron
Francis PJ, Schultz DW, Gregory AM, Schain MB, Barra R, Majewski J et al. Genetic and phenotypic heterogeneity in pattern dystrophy. Brit Jour Ophthalmol. 2005;89(9): 1115-1119. Disponible en: https://doi.org/10.1136/bjo.2004.062695
Marmor MF, Byers B. Pattern dystrophy of the pigment epithelium. Am J Ophthalmol 1977;84: 32-44. Disponible en: https://doi.org/10.1111/j.1600-0420.1996.tb00682.x
Grob S, Yonekawa Y, Eliott D. Multimodal imaging of adult-onset foveomacular vitelliform dystrophy. S Jour Ophthal. 2014;28(2): 104–110. Disponible en: https://doi.org/10.1016/j.sjopt.2014.02.001
Querques, G, Forte, R, Querques L, Massamba N, Souied EH. Natural course of adult-onset foveomacular vitelliform dystrophy: a spectral-domain optical coherence tomography analysis. Am J Ophthalmol. 2011;152(2): 304-313. Disponible en: https://doi.org/10.1016/j.ajo.2011.01.047
Benhamou N, Messas A, Cohen Y, Gaudric A, Souied EH, Soubrane G et al. Adult-onset foveomacular vitelliform dystrophy with OCT 3. Am J Ophthalmol. 2004;138(2): 294-296. Disponible en: https://doi.org/ 10.1016/j.ajo.2004.02.076
Grenga PL, Fragiotta S, Cutini A, Meduri A, Vingolo EM. Enhanced depth imaging optical coherence tomography in adult-onset foveomacular vitelliform dystrophy. E Jour Ophthalmol. 2016;26(2): 145-151. Disponible en: https://doi.org/ 10.5301/ejo.5000687
Arnold JJ, Sarks JP, Killingsworth MC, Kettle EK, Sarks SH. Adult vitelliform macular degeneration: a clinicopathological study. Eye. 2003;17(7): 17-26. Disponible en: https://doi.org/10.1038/sj.eye.6700460
Do P, Ferrucci S. Adult-onset foveomacular vitelliform dystrophy. Optometry. 2006;77: 156–166. Disponible en: https://doi.org/10.1016/j.optm.2006.01.020
Epstein GA, Rabb MF. Adult vitelliform macular degeneration: diagnosis and natural history. Br J Ophthalmol. 1980;64(10): 733–740. Disponible en: https://doi.org/10.1136/bjo.64.10.733
Keywords
OCT
fluorescein angiography
AMD