PT  - JOURNAL ARTICLE
AU  - G A Epstein
AU  - M F Rabb
TI  - Adult vitelliform macular degeneration: diagnosis and natural history.
AID  - 10.1136/bjo.64.10.733
DP  - 1980 Oct 01
TA  - British Journal of Ophthalmology
PG  - 733--740
VI  - 64
IP  - 10
4099  - http://bjo.bmj.com/content/64/10/733.short
4100  - http://bjo.bmj.com/content/64/10/733.full
SO  - Br J Ophthalmol1980 Oct 01; 64
AB  - True vitelliform dystrophy rarely appears in the adult population. We describe 10 cases in adults of bilateral vitelliform lesions clinically mistaken for Best's disease. Fluorescein angiography is a useful tool in distinguishing this dystrophy from Best's disease or other diseases. The angiographic findings suggest pigment epithelial disease. Adult vitelliform degeneration may lead to dry atrophic macular degeneration in a similar fashion as macular drusen. Symptoms and visual findings in these patients are fairly stable, and may be only slowly progressive in spite of ophthalmoscopic and fluorescein angiographic changes over a period of years. The electro-oculogram is useful in separating adult vitelliform macular degeneration from true vitelliform dystrophy.