[Retinal angiomatosis in association with Stargardt's disease. A case report]

We present what we believe to be the first reported association between retinal angiomatosis and Stardgardt's disease (Gass type 3). We have had the opportunity of following photographically a patient for the last eleven years. The earliest photos showed the macular problem whilst the latter shots showed the presence of a capillary angioma involving the temporal part of the optic disc and the adjacent retina of the left eye. We believe that this tumour arose in previously normal tissue. Examination and investigation of the patient revealed a peripapillary choroidal rupture at the site of the angioma, thalassaemia minor, retinitis pigmentosa, mildly dilated lateral ventricles, hepatic angiomata and a negative family history apart from a younger sister who was mildly retarded and showed an identical fundal picture of Stargardt's disease. Later examination revealed a small peripheral angioma inferiorly in the same eye. The diagnostic and management problems will be discussed.