Macular Atrophy in Middle Aged: A Case Report of Central Areolar Choroidal Dystrophy
Course Authored By: Sarah Demty, OD | Amanda Hunter, OD | Joseph Mega, OD | Thomas Cesaro, OD | Claire Messina, OD
Course Description
Central areolar choroidal dystrophy CACD is a rare inherited predominantly autosomal dominant macular disease affecting the retinal pigment epithelium and choriocapillaris. It leads to gradual and progressive loss of central vision due to atrophy of the retinal layers. Often confused with dry age related macular degeneration, CACD affects younger patients starting as early as adolescence, and typically results in legal blindness by the seventh decade. While there is no cure for CACD, it is important to recognize the clinical signs early so patients can benefit from low vision assistance and plan appropriate lifestyle changes as needed as well as alert offspring to the potential vision loss.
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