| Title | Contributiuon of spectral-domain optical coherence tomography in a case of familial occult macular dystrophy. |
| Purpose | To document the interest of using spectral-domain optical coherence tomography (SD-OCT) for the diagnosis and for the comprehension of macular dysfunction in occult macular dystrophy (OMD). |
| Methods | OMD is characterized by a progressive decline of visual acuity with normal fundus, normal fundus auto-fluorescence and normal fluo-angiography. In this clinical context, abnormal mf-ERG remains until now the gold standard to allow the diagnosis of OMD. However, SD-OCT may demonstrate significant anatomic changes in the photoreceptors layer. Morphologic photoreceptors layer abnormalities were investigated with SD-OCT in a member of a family with OMD. |
| Results | The SD-OCT demonstrated a foveal well-defined disruption of the inner segment-outer segment junction of photoreceptors. |
| Conclusion | OMD is a rare macular disorder which is very difficult to diagnose. The diagnosis can be promoted by using SD-OCT, demonstrating a disruption of the photoreceptors layer. These OCT findings most probably participate in the pathophysiology of vision lowering associated with OMD. |
| Last name | PIENS |
| Initials | I |
| Department | hopital erasme |
| City | bruxelles |
| Last name | CORDONNIER |
| Initials | M |
| Department | hopital erasme |
| City | bruxelles |
| Last name | RASQUIN |
| Initials | F |
| Department | hopital erasme |
| City | bruxelles |