VRSI IMAGE AND VIDEO COMPETITION

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Title: Mapping the dying constellations: Fundus Autofluorescence in Stargardt's disease

Description: A 10-year-old male presented with an 8-month history of bilateral, non-progressive vision loss, with no diurnal variation. He was born of a second-degree consanguineous marriage, with no family history of ocular disease. Both eyes anterior segment examination was unremarkable. Both eyes fundus evaluation showed normal optic disc and vessels, with flecks at the macula and vascular arcades, accompanied by foveal thinning and inferior RPE hyperplasia. Fundus autofluorescence of Both eyes revealed hyperautofluorescent flecks surrounding the optic disc. Optical coherence tomography demonstrated foveal thinning with hyperreflective dots in the outer retinal layers, suggestive of flecks. Full-field electroretinography showed minimally reduced scotopic and photopic responses. The clinical findings are consistent with a diagnosis of Both eyes Stargardt's disease.