Adult Foveomacular Vitelliform Dystrophy

Adult foveomacular vitelliform dystrophy is a rare pathology. Less than 1% of the reported cases display perifoveal capillary permeability. The three-year follow-up period of the case revealed a rare form, which had not yet been documented. The patient was a 40-year-old female with normal visual acuity, and a minor complaint of metamorphopsia on the left eye. Retinography showed a perifoveal yellowish subretinal area OS. Angiography showed perifoveal leakage OS. Follow up showed that, over 3 years, capillary incompetence disappeared and the yellow area underwent alterations, becoming atrophic OS. Angiography also showed hyperfluorescence (windows defect). Towards the end, it resembled the appearance of late stage of Best's Disease.723197199Renner, A.B., Tillack, H., Kraus, H., Kohl, S., Wissinger, B., Mohr, N., Morphology and functional characteristics in adult vitelliform macular dystrophy (2004) Retina., 24 (6), pp. 929-939Gass, J.D., A clinicopathologic study of a peculiar foveomacular dystrophy (1974) Trans Am Ophthalmol Soc., 72, pp. 139-156Fishman, G.A., Trimble, S., Rabb, M.F., Fishman, M., Pseudovitelliform macular degeneration (1977) Arch Ophthalmol., 95 (1), pp. 73-76Sabates, R., Pruett, R.C., Hirose, T., Pseudovitelliform macular degeneration (1982) Retina, 2 (4), pp. 197-205Dubovy, S.R., Hairston, R.J., Schatz, H., Schachat, A.P., Bressler, N.M., Finkelstein, D., Grenn, W.R., Adult-onset foveomacular pigment epithelial dystrophy:clinicopathology correlation of three cases (2000) Retina, 20 (6), pp. 638-649Gutman, T., Walsh, J.B., Henkind, P., Vitelliform macular dystrophy and butterfly-shaped epithelial dystrophy:a continuum? (1982) Br J Ophthalmol., 66 (3), pp. 170-173Epstein, G.A., Rabb, M.F., Adult vitelliform macular degeneration:diagnosis and natural history (1980) Br J Ophthalmol., 64 (10), pp. 733-74