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Letter to the Editor
Blunt trauma in Best's vitelliform macular dystrophy
  1. ITAY CHOWERS,
  2. EHUD ZAMIR,
  3. EYAL BANIN,
  4. MOHAMMED ABDULRAZIK,
  5. YITZCHAK HEMO
  1. Department of Ophthalmology, Hadassah University Hospital and Hebrew University Hadassah Medical School, Jerusalem, Israel
  1. Dr Itay Chowers, Department of Ophthalmology, Hadassah University Hospital, PO Box 12000, Jerusalem 91120, Israel chowers{at}md2.huji.ac.il

https://doi.org/10.1136/bjo.84.11.1318m

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    Editor,—Recently, the association of Best‘s vitelliform macular dystrophy (BVMD) with mutations in chromosome 11 has been reported, and candidate genes that may be affected by these mutations have been identified.1 2 However, the role of these genes in retinal and retinal pigment epithelium (RPE) function is not clear. In addition, factors that determine the progression of the vitelliform foveal lesion leading to impairment of visual acuity in patients with BVMD are not understood. We present a case in which blunt trauma was associated with deterioration of visual acuity and macular scar formation in a patient with BVMD.

    CASE REPORT

    A 14 year old male presented to our clinic after being hit in his right eye by a fist 40 days earlier. He complained of reduced visual acuity in this eye since the trauma. He had a history of good and equal visual acuity in both eyes until the trauma occurred, and ocular and systemic history were unremarkable. He was the fourth son among eight children (two males and six females), and the patient was unaware of any significant ocular diseases in his family. Other …

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