Follow-up of a case of vitelliform macular dystrophy over an 8-year period.

Objective: To show the follow-up of a case of vitelliform macular dystrophy with morphological and visual functional tests over an 8-year period.

Methods: Retrospective review of medical records. The morphological examination included color photography, fluorescein angiography, and ocular coherence tomography (OCT). The visual functional tests included visual acuity, electro-oculogram (EOG) and multifocal electroretinography (mfERG). The patient was observed for 8 years, from 2003 to 2011.

Results: During the follow-up, the improvement of sensory retinal detachment and reduction of yellow-white deposit were observed with color photography and fluorescein angiography. OCT revealed a decrease in sensory retinal detachment and subretinal hyper-reflective deposits; both of these morphological changes were correspondent. Visual acuity was maintained throughout the follow-up. The Arden ratio of EOG was decreased. The amplitudes of mfERG were decreased but slightly increased during the follow-up.

Conclusions: The retinal morphological changes and visual function slightly improved in this case of vitelliform maculopathy. The prognosis is good.