Stargardt's is an inherited disease
that affects the retina, the layer of light-sensitive
cells lining the back of the eye. It usually becomes
apparent between the ages of 8 and 14. Boys and girls
are equally susceptible and more than one child in a
family may have it.
Stargardt's disease begins with slightly blurry vision
that gradually gets worse. By the late 20s, vision is
typically about 20/200, the level labeled legally blind.
Remaining vision is good enough for most people to live
fairly normal lives, though they won't drive, or read
without using magnification devices.
A build-up of lipofuscin (fatty substance) in retinal
cells is thought to cause Stargardt's disease. The buildup
typically happens in the central retina, or macula,
where it resembles beaten bronze. Or, it can occur in
the side retina where it causes small white flecks.
This form is called fundus flavimaculatus. Angiography,
a special photograph of the retina, may aid in the diagnosis.
Although no specific medical or surgical treatment is
available, glasses and magnification help affected people
adapt to the disease. |