DOI: 10.36347/sjmcr.2015.v03i11.008

Pages: 1038-1041

We present a case of Stargardt disease in a 66-year-old man. Fundus examination revealed atrophic macula in both eyes. Fundus autofluorescence (FAF) imaging showed clearly defined hypo-autofluorescent lesions corresponding to the atrophic lesion. In addition, numerous hyper-auto¬fluorescent dots corresponding to the retinal flecks were observed around the atrophic area. Near-infrared FAF imaging showed central hyper-autofluorescent lesions corresponding to the hypo-autofluorescent dark area examined by FAF. Optical coherence tomography (OCT)revealed disruption of the photoreceptor inner segment/outer segment interface. Some retinal flecks were detected on OCT. Retinal flecks were more easily defined on FAF images than on color photographs. FA Fwas useful in visualizing retinal flecks even though the end-stage Stargard disease.