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Case Reports
. 2005 Feb;139(2):351-3.
doi: 10.1016/j.ajo.2004.07.039.

Optical coherence tomography in Best's disease: an observational case report

Affiliations
Case Reports

Optical coherence tomography in Best's disease: an observational case report

Vasumathy Vedantham et al. Am J Ophthalmol. 2005 Feb.

Abstract

Purpose: To report the optical coherence tomographic (OCT) findings in a case of Best's disease.

Design: Observational case report.

Methods: Optical coherence tomography was carried out to understand the pathogenesis of Best's disease in a 13-year-old girl.

Results: Optical coherence tomography demonstrated that the lipofuscin accumulated in a cystic space underneath the retinal pigment epithelium in the "pseudohypopyon stage" of Best's disease. It also demonstrated the disruption of the photoreceptors in the "scrambled egg" stage.

Conclusions: These new OCT findings could explain the retention of good visual acuity in the "pseudohypopyon stage" and the loss of visual acuity in the "scrambled egg" stage of Best's disease.

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