Fundus albipunctatus
Rajaa Elhannati, Hicham Tahri
The Pan African Medical Journal. 2016;23:61. doi:10.11604/pamj.2016.23.61.8562

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Images in medicine

Fundus albipunctatus

Cite this: The Pan African Medical Journal. 2016;23:61. doi:10.11604/pamj.2016.23.61.8562

Received: 04/12/2015 - Accepted: 17/12/2015 - Published: 29/02/2016

Key words: Fundus albipunctatus, recessive autosomal disease, night blindness

© Rajaa Elhannati et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/23/61/full

Corresponding author: Rajaa Elhannati, Service d’Ophtalmologie, CHU Hassan II, Fès, Maroc (medraja01@hotmail.com)


Fundus albipunctatus

Rajaa Elhannati1,&, Hicham Tahri1

 

1Service d’Ophtalmologie, CHU Hassan II, Fès, Maroc

 

 

&Corresponding author
Rajaa Elhannati, Service d’Ophtalmologie, CHU Hassan II, Fès, Maroc

 

 

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Fundus albipunctatus is a recessive auto somal disease. It is a rare form of apparently stationary night blindness characterized by the presence of myriad symmetrical round white dots in the fundus with a greater concentration in the midperiphery. The fundus shows a multitude of subtle, tiny yellow-white spots at the posterior pole, sparing the fovea and extending to the periphery (A et B). The retinal blood vessels, optic disc, peripheral fields and visuel acuity remain normal. Fluoresce in angiography shows mottled hyperfluorescence exceptat the fovea (C et D). Differential diagnosis are the retinitis punctat a albescens and the Oguchi disease. No effective treatment is available to restore full receptor cell function however, high oral doses of beta-carotenemay lead to an improvement in night blindness.

 

 

Figure 1: A) fundus of the right eye: yellow white spots at the posterior pole separing the fovea and extending to the periphery; B) fundus of the left eye: yellow white spots at the posterior pole separing the fovea and extending to the periphery; C) fluoresce in angiography (right eye) showed diffuse alterations of the pigment epithelium and hyperfluorescent points white spots pigment epithelium; D) fluoresce in angiography (left eye) showed diffuse alterations of the pigment epithelium and hyperfluorescent points white spots pigment epithelium

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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