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vitelliform macular dystrophy; Best macular dystrophy
Epidemiology: rare
Pathology:
1) 'egg-yolk' macular lesions due to abnormal accumulation of lipofuscin within & beneath the retinal pigment epithelium cells
2) progression leads to destruction of retinal pigment epithelium & vision loss
Genetics:
- autosomal dominant
- incomplete penetrance & highly variable expression
- associated with defects in BEST1 gene
- associated with defects in PRPH2 gene
Clinical manifestations:
- age of onset varies from very early childhood to adolescence (BEST1) to 4th or 5th decade (PRPH2, BEST1)
- protracted decrease in visual acuity
Interactions
disease interactions
General
genetic disease of the eye
macular degeneration
Database Correlations
OMIM correlations
References
- Altaweel M and Roy H
eMedicine: Best Disease
http://emedicine.medscape.com/article/1227128-overview
- eyeWiki: Best disease
http://eyewiki.aao.org/Best_Disease
- Retina International: Rare Conditions
http://www.retina-international.org/eye-conditions/retinal-degenerative-conditions/rare-conditions/
- MacDonald IM and Lee T
Best Vitelliform Macular Dystrophy.
Gene Reviews. NCBI Bookshelf
http://www.ncbi.nlm.nih.gov/books/NBK1167/
- Foundation for Fighting Blindness: Best Disease
https://www.blindness.org/index.php?view=article&id=246%3Abest-disease&option=com_content&Itemid=88