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[Benign concentric annular macular dystrophy]

B Sadowski1, J M Rohrbach, M Partsch

  • 1Abteilung II (Neuroophthalmologie und Pathophysiologie des Sehens, Universit at-Augenklinik T ubingen.

Klinische Monatsblatter Fur Augenheilkunde
|September 1, 1994
PubMed
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A rare benign concentric annular macular dystrophy was found in a patient with normal vision and electroretinograms. This condition, presenting as a ring scotoma, requires careful differential diagnosis from other bull's eye maculopathy.

Area of Science:

  • Ophthalmology
  • Medical Genetics

Background:

  • Benign concentric annular macular dystrophy is a rare condition.
  • Differential diagnosis for bull's eye maculopathy is extensive.

Observation:

  • A 32-year-old male presented with an annular macular dystrophy during a routine eye exam.
  • The patient had 20/20 visual acuity and normal photopic and scotopic electroretinograms.
  • Ophthalmoscopy revealed macular findings consistent with a ring scotoma on visual field testing and fluorescein angiography.

Findings:

  • Mild color vision deficiency was noted, without a predominant axis of confusion.
  • The observed macular changes correlated with the fluorescein angiographic pattern.
  • The condition was diagnosed as benign concentric annular macular dystrophy.

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Implications:

  • This case highlights a rare macular dystrophy that may present asymptomatically.
  • Accurate diagnosis is crucial to differentiate from other bull's eye maculopathies.
  • Further research into the genetic and clinical spectrum of this condition is warranted.