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Case Series

Multimodal Imaging Reveals the Spectrum of Pattern Dystrophies of the Retinal Pigment Epithelium

Crane, Emily R., OD, FAAO1*; Bass, Sherry J., OD, FAAO1

doi: 10.1097/OPX.0000000000001361
REPORTS
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SIGNIFICANCE Pattern dystrophies of the retinal pigment epithelium, often misdiagnosed as other macular conditions, were once considered a rare retinal disease. However, an increasing number of cases have recently been discovered owing to advancements in multimodal imaging and increased awareness of the condition.

PURPOSE The purposes of this study were to increase awareness of pattern dystrophies and to review how to accurately diagnose and manage pattern dystrophies by understanding their presentation on fundus autofluorescence, optical coherence tomography, and electrodiagnostic testing.

CASE SERIES Three cases of patients diagnosed as having pattern dystrophies are reported. In case 1, fundus autofluorescence, optical coherence tomography, and electrodiagnostic testing aid in diagnosing multifocal pattern dystrophy. The same tools are used to diagnose adult-onset foveomacular vitelliform dystrophy in case 2 and reticular pattern dystrophy in case 3.

CONCLUSIONS Fundus autofluorescence, optical coherence tomography, and electrodiagnostic testing facilitate the proper diagnosis of patients with pattern dystrophies. With increased awareness of pattern dystrophies and increased use of multimodal imaging, pattern dystrophies will likely no longer be considered rare.

1SUNY State College of Optometry, New York, New York

* emilycrane91@gmail.com

Submitted: June 29, 2018

Accepted: November 25, 2018

Funding/Support: None of the authors have reported funding/support.

Conflict of Interest Disclosure: None of the authors have reported a financial conflict of interest.

Author Contributions: Data Curation: ERC; Formal Analysis: ERC; Writing – Original Draft: ERC; Writing – Review & Editing: SJB.

© 2019 American Academy of Optometry