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batten_disease [2025/05/30 18:24] – created Scott Larsonbatten_disease [2025/06/14 02:37] (current) Scott Larson
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   * Most survive into early adulthood   * Most survive into early adulthood
  
 +==== Fundus Exam ====
 +<WRAP round box>
 +{{::batten_disease_fundus.jpg|}}\\
 +Mild temporal pallor right optic nerve and yellow-orange deposits\\
 +photo from Jennifer L. Rossen MD's 2025 AAPOS workshop presentation 
 +</WRAP>
 +
 +==== OCT ====
 +<WRAP round box>
 +{{::batten_disease_oct.jpg|}}\\
 +loss of ellipsoid zone in fovea, generalized thinning and distortion of retinal layers, loss of outer retinal layers\\
 +photo from Jennifer L. Rossen MD's 2025 AAPOS workshop presentation 
 +</WRAP>
 +
 +==== Fundus Autofluorescence ====
 +
 +<WRAP round box>
 +{{::batten_disease_fundus_autofl.jpg|}}\\
 +foveal hypo-fluorescence and ring of hyper-fluorescence in macula\\
 +photo from Jennifer L. Rossen MD's 2025 AAPOS workshop presentation 
 +</WRAP>
 +
 +
 +===== Distinguish from Stargardt Disease =====
 +  * More profound and rapid vision loss
 +  * Panretinal involvement early in disease seen on ERG
 +  * No flecks
 +  * Optic atrophy often present early
 +  * Neurological symptoms 
 +
 +
 +{{tag>syndrome}}