J Korean Ophthalmol Soc > Volume 60(10); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(10):999-1005.
DOI: https://doi.org/10.3341/jkos.2019.60.10.999    Published online October 15, 2019.
Fundus Albipunctatus Diagnosed in a 9-year-old Female.
Ki Yup Nam, Bum Jun Kim, Ji Hye Kim, Tae Seen Kang, Hyun Kyung Cho, In Young Chung, Jong Moon Park, Yong Seop Han
1Department of Ophthalmology, Gyeongsang National University Changwon Hospital, Changwon, Korea. medcabin@hanmail.net
2Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.
3Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
9세 소아에서 진단된 흰점망막병증
남기엽1 · 김범준1 · 김지혜1 · 강태신1 · 조현경1,2 · 정인영2,3 · 박종문2,3 · 한용섭1,2,3
창원경상대학교병원 안과1, 경상대학교 의과대학 안과학교실2, 경상대학교 건강과학연구원3
Correspondence:  Yong Seop Han,
Email: medcabin@hanmail.net
Received: 11 April 2019   • Revised: 23 April 2019   • Accepted: 24 September 2019
Abstract
PURPOSE
We report a case of fundus albipunctatus discovered in a young patient. CASE SUMMARY: A 7.6-year-old female showed numerous small whitish-yellow flecks in the perimacular area and retinal periphery. Dark adapted 0.01 electroretinography (ERG) and dark adapted 3.0 ERG were profoundly reduced. At 26 months after the first visit, the best-corrected visual acuities were 1.0 right eye and 0.9 left eye. There were no pigmented lesions, atrophic lesions, or vascular abnormalities in the retina. Humphrey and Goldmann visual field tests were performed, but neither of the tests revealed any scotomas or other visual field defect. The number and size of characteristic numerous small whitish-yellow retinal flecks seemed almost unchanged. In spectral domain-optical coherence tomography (SD-OCT), the subretinal hyper-reflective lesions spanned the retinal pigment epithelium and the external limiting membrane. ERG showed improved dark adapted responses (dark adapted 0.01 ERG and dark adapted 3.0 ERG) after prolonged dark adaptation (2.5 hours). No family member showed any abnormal findings. CONCLUSIONS: Fundus albipunctatus is a rare disease in Koreans. We report a case diagnosed using fundus photography, SD-OCT, visual field tests, and ERG after prolonged dark adaptation (2.5 hours).
Key Words: Dark adaptation;Electroretinography;Fundus albipunctatus;Optical coherence tomography


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