====== Stargardt Disease ======
  * Autosomal recessive inherited retinal dystrophy
    * ABCA4 gene mutations
===== Main Features =====
  * Bilateral central vision loss
    * Yellow pisiform flecks in posterior pole 70%
    * Early cases can mimic [[batten_disease|Batten Disease]]
    * Late cases can mimic Pattern dystrophy 

===== Imaging Features =====
==== OCT ====
  * Outer Retinal atrophy in the macula
<WRAP round box 60%>
{{::stargardt_dz_oct.png|}} 
photo from Matthew C. Weed, AAPOS workshop 2025
</WRAP>
==== Fundus Autofluorescence ====
  * Foveal hypofluorescene
  * Ring of hyperfluorescense representing deposits of lipofucin
  * Sparing of pepapillary area 
<WRAP round box 60%>
{{::stargardt_dz_fundus_autofl1.png|}}\\
{{::stargardt_dz_fundus_autofl2.png|}}\\
photos from Matthew C. Weed, AAPOS workshop 2025
</WRAP>
==== Fundoscopy ====
  * Blunted foveal reflex
<WRAP round box 50%>
{{::stargardt_dz_fundus.png|}}\\
photo from Matthew C. Weed, AAPOS workshop 2025
</WRAP>