Stargardt Disease - Retina Pigment Epithelial Atrophy

A healthy 39 year old Caucasian woman who was diagnosed originally with Stargardts disease in June 2014 was seen two years later for complaints of gradual subjective decrease in visual acuity despite reading the 20/20 line in the office. Her optical coherence tomography image confirmed retinal pigment epithelial atrophy around the fovea. Visible hyper-reflective pigment flecks and tan lipofuscin flecks were observed on her fundus auto-fluorescence and color fundus photos. The pictures displayed are of her left eye; however, this condition is bilateral, and the right eye was similar.