Kent W. Small, MD
Board-Certified: American Board of Ophthalmology
Fellowship: Vitreoretinal Diseases and Surgery, Duke University Eye Center, Durham, NC; Molecular Genetics, Duke University School of Medicine, Durham, NC
MD: Tulane University School of Medicine, New Orleans, LA
Specialized care for retinal diseases:
- Macular degeneration
- Diabetic retinopathy
- Retinal tears & detachments
- Inherited retinal diseases
- Retinal vascular disease
- Macular holes
- Macular puckers
- Macular edema
- Proliferative vitreoretinopathy/scar tissue
State-of-the-art diagnostic exams:
- Fluorescein & indocyanine green (ICG) angiography
- Fundus photography
- Scanning laser ophthalmoscopy (SLO)
- Ultrasound A & B scans
- Visual field testing
- Optical coherence tomography (OCT)
Stargardt’s disease is an inherited disease that affects the retina, the layer of light-sensitive cells lining the back of the eye. It usually becomes apparent between the ages of eight and 14. Boys and girls are equally susceptible and more than one child in a family can have it.
Stargardt’s disease begins with slightly blurry vision that gradually gets worse. By the late 20s, corrected vision is typically about 20/200, the level labeled legally blind. Remaining vision is good enough for most people to live fairly normal lives, though they will not drive, or read without using magnification devices.
A buildup of lipofuscin(fatty substance) in retinal cells is thought to cause Stargardt’s disease. The buildup typically happens in the central retina, or macula, where it resembles beaten bronze. Or it can occur in the side retina where it causes small white flecks. This form is called fundus flavimaculatus.
Angiography, a special photograph of the retina, may aid in the diagnosis. Although no specific medical or surgical treatment is available, eyeglasses and magnification help affected people adapt to the disease.
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