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Br J Ophthalmol 2004;88:1602-1603 doi:10.1136/bjo.2004.047555
  • Letter

Occult macular dystrophy in an 11 year old boy

  1. M Kondo,
  2. S Ueno,
  3. C-H Piao,
  4. Y Ito,
  5. H Terasaki,
  6. Y Miyake
  1. Department of Ophthalmology, Nagoya University School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 466-8550, Japan
  1. Correspondence to: Mineo Kondo MD Department of Ophthalmology, Nagoya University School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 466-8550, Japan; kondomimed.nagoya-u.ac.jp
  • Accepted 27 April 2004

Occult macular dystrophy (OMD) is an inherited macular dystrophy characterised by a progressive decline of visual acuity without visible fundus abnormalities.1–3 In these patients, the fluorescein angiograms and conventional full field electroretinograms (ERGs) are normal, but the amplitudes of the focal macular ERGs and multifocal ERGs are significantly reduced but only in the central retina.1–4

The age at the onset of symptoms in OMD patients is relatively old,1–3 and the first visit to the hospital is aged 20 years or more with the youngest being 16 years in most cases. Here, we present an 11 year old boy who was diagnosed as having OMD because of the results of electrophysiological and psychophysical tests.

CASE REPORT

An 11 year old boy was referred to our hospital with a complaint of progressive decline of vision in …

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