Stargardts DiseaseStargardts disease is the most common form of juvenile macular degeneration. The changes in vision are usually noticed before the age of 20. 
This genetic form of
macular dystrophy
results in a dying of the photoreceptor cells in the
macula
which provide us with our detailed and central vision.
1) they do not know that they are carriers and 2) the parents do not have the disease themselves. The responsible gene, ABCR, has recently been identified which will be useful for future gene therapy. There also is a form of Stargardt's that is inherited from a dominant gene. Detection and Diagnosis
Initially, the child will complain of some vision loss, but JMD may not be detected during an eye exam and the macula may appear normal. This often causes delayed diagnosis or a lack of validation of the child's complaints of vision problems.Later, as Stargardts progresses, and it will, a
fluorescein angiogram
will show changes in the
choroid layer,
a layer of blood vessels that feeds the macula. Eventually small yellowish-white flecks (fundus flavimaculatus) appear in the peripheral retina.
Macular Dystrophy Symptoms
Symptoms of Stargardt's are:√ Blurred central vision √ Distorted vision √ Loss of visual acuity √ Small blind spots; objects may disappear and reappear causing a come and go effect. √ Difficult time adapting to the dark from the light √ Difficulty seeing in dim lighting √ Increased light sensitivity √ Color vision declines as the disease progresses √ Loss of depth perception
Stargardt's Treatment
According to conventional medicine, there currently is no treatment for Stargardts. There are things that can be done to help protect your eyes like wearing sunglasses and wide brimmed hats. To read more about choosing the right sunglasses click here:
Sunglasses
Following a macular degeneration diet, although not proven to slow the progression of this inherited disease, can't hurt and is good for one's overall health. To read more about a Macular Degeneration Diet click here:
Macular Degeneration Diet
Complementary treatment using nutrition, supplements and microcurrent stimulation is suggested by Dr. Marc Grossman, optometrist, acupuncturist, and author. He offers free telephone consults and offers high quality eye supplements along with nutritional advice. If this interests you click here: Vision Health Treatment Options & Nutrient Recommendations
Low Vision RehabilitationTo maximize the existing sight of a patient and to learn tips forliving independently, it is best to utilize the services of a low vision rehabilitation specialist. They can assess the needs of an individual and make recommendations for visual aids as well. Click here to read more: Low Vision RehabilitationVisual Aids for Macular DystrophyThere are many visual aids that can allow your child or young adult continue to be successful in school or with a job. Become aware of what these are so that when the need arises you will be prepared to help your child achieve independence.Click here to read more about visual aids:
Vision Aids for Macular Degeneration
Stargardt's ResearchCurrently at the University of Utah in Salt Lake, a clinical trial is going on that is looking at dietary intake of omega-3 fatty acids.This study is still on going, however, they are not recruiting any new participants. The Estimated Study Completion Date is August 2009. The stated purpose is: We have found that biomarkers of long-term elevated dietary intake of omega-3 fatty acids such as DHA and EPA are inversely associated with severity of disease phenotype in Dominantly Inherited Stargardt's Disease (STGD3)STGD3 patients. Therefore, the purpose of this study is to follow STGD3 patients as they supplement their diets with DHA/EPA. I will update you when the study results are posted.
Go from Stargardts Disease to Juvenile Macular Degeneration
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