Zeitschrift für klinische und experimentelle Ophthalmologie
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A Clinical Case Report: Best Vitelliform Macular Dystrophy Disease, Mozambique

Amelia Buquea, Samir Vankawalaa, Rameez Hussaina, Mukeshkumar Dudhatraa, Gilberto Manhicab

Aim: To report a clinical case of 15 years old girl, with low visual acuity in her left eye.
Methods: This case report is a retrospective and descriptive study. Data was gathered from patient clinical record file that included anamnesis, examination and analysis of diagnostic tests.
Results: A 15 years old female complains of low visual acuity in her left eye (LE), for the last three weeks, before consultation. Her father and grandmother had low visual acuity since young age not correctable with glasses. Best corrected visual acuity was 6/6 in the right eye and 6/36 in the left. Both eyes anterior segment examination was normal. Bilateral posterior segment exam revealed yellow colored material similar to yolk egg structure, on the macula. The macula optical coherence tomography (OCT) reveled RE pigmentary epithelial detachment (PED) and LE atrophic scar. Fluorescein Angiogram (FFA) showed active choroidal neovascular membrane (CNVM) in the LE. For treatment of the CNVM in left eye it was given Intra vitreous Ranibizumab injection once. On the sixth and twelfth months review the visual acuity, FFA and macula examination were stable. Routine blood investigation, physician consultation not found any abnormality.
Conclusion: The family history, clinical findings, OCT and fluorescein angiogram features were characteristic of Best Vitelliform Macular Dystrophy.