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Adult vitelliform macular dystrophy was first described by Gass as giving rise to bilateral, round or oval, yellow, symmetrical, subretinal lesions typically one-third to one-half disc diameter in size. Although Gass proposed that this was an autosomal dominant disease, doubt has been expressed as to whether or not it is heritable.

We investigated the families erwachsenen dystrophie foveomacular beginn vitelliform 12 patients who presented to our clinic with foveal lesions typical of adult vitelliform macular dystrophy and found familial involvement compatible with an autosomal dominant inheritance in ten, although it has not been conclusively proven in all families.

In the remaining two patients, no familial involvement was detected, but in neither family were both parents available for examination so that autosomal dominant inheritance could not be ruled out. We conclude that adult vitelliform macular erwachsenen dystrophie foveomacular beginn vitelliform is an autosomal dominant disorder, and the term would be best reserved for foveal lesions similar to that described by Gass with a dominant pattern of inheritance.

Gass JDM : A clinicopathologic study of a peculiar foveomacular dystrophy. Trans Am Opthalmol Soc72 : — Am J Ophthalmol84 : — Am J Ophthalmol83 — In Brancato R, ed. In press. Br J Ophthalmol64 : — Skalka HW : Vitelliform macular erwachsenen dystrophie foveomacular beginn vitelliform. Br J Ophthalmol65 : —3. Retina2 — Cleasby GW : Adult vitelliform macular dystrophy, sporadic pattern dystrophy of the macula.

Br J Ophthalmol46 : — Gass JDM : Dominantly inherited adult form of vitelliform foveomacular dystrophy. Management of retinal vascular and macular disorders, Baltimore: Williams and Williams, ,—6. Gass JDM : Stereoscopic atlas of macular diseases: diagnosis and treatment. Download references. Reprints and Permissions. Brecher, R. Adult vitelliform macular dystrophy.

Eye 4, — Download citation. Issue Date : 01 January Molecular Medicine Reports Genes Ophthalmic Genetics Journal of Ophthalmology Eye Advanced search. Skip to main content. Download PDF. Abstract Adult vitelliform macular dystrophy was first described by Gass as giving rise to bilateral, round or oval, yellow, symmetrical, subretinal lesions typically one-third to one-half disc diameter in size.

View author publications. Rights and permissions Reprints and Permissions. About this article Cite this article Brecher, R. DalvinJose S. Search Article Search Search.


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