OCT Tip 233 was originally published on May 27th, 2022.
This man has 20/80 vision. Why?
Analysis
The inner layers of the retina are within normal limits. There is significant thinning of the ellipsoid zone. In addition, on the deep side of the ellipsoid zone, thickening of the photoreceptors are noted. Hyperreflective material is noted in the subretinal space. This material was noted to be hyperreflective on red-free imaging and angiography (video).
The patient was treated for Best's disease.
In this tip's accompanying 12 min. video, we'll review:
- How Best's disease presents
- The inheritance pattern of Best's disease
- The genetic mutation with Best's disease
OCT Tip
In any young to middle-aged patient with bilateral macular changes, consider Best's disease.
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