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Pattern dystrophy of the macula in a case of steinert disease
Filipe Esteves1, Rosa Dolz-Marco, Pablo Hernández-Martínez
1Department of Ophthalmology, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal ; Unit of Macula and Medical Retina, Department of Ophthalmology, University and Polytechnic Hospital La Fe, Valencia, Spain.
Introduction:
Myotonic dystrophies are typically associated with ocular complications like ptosis, weakness of the ocular muscle and cataracts, but also with less recognized retinal changes.
Case Report:
A 41-year-old female with type 1 myotonic dystrophy complained of progressive vision loss. Slit lamp examination revealed the presence of typical bilateral polychromatic cataract with posterior subcapsular component. Dilated fundus examination was remarkable for bilateral macular depigmented changes. Multimodal imaging analysis of the macula suggested the presence of a butterfly-shaped pattern dystrophy.
Discussion:
In cases of myotonic dystrophies it is of great relevance to analyze the presence of retinal changes that might limit the visual improvement following cataract extraction.
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