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Stargardt disease is the most common form of juvenile macular degeneration. While there is no cure for it, there are options that can improve visual function.
Stargardt disease affects children and young adults over time by impairing vision and causing retinal degeneration. More than 30,000 people in the United States are affected by Stargardt Disease, the most common form of inherited juvenile macular degeneration. With Stargardt disease, progressive vision loss is caused by the degeneration of photoreceptor cells in the central portion of the retina called the macula.
The onset of Stargardt disease typically occurs during childhood or adolescence, however it can also start much later in life. Juvenile onset is defined as starting before age 21, adult onset is defined as beginning between 21 and 40 years, while late onset is defined as starting at age 41 or older.
One of the most common symptoms of Stargardt disease is a progressive loss of central vision in both eyes. Central vision loss occurs more quickly in some people than in others. Peripheral vision is typically preserved to some extent.
There may also be other symptoms, such as:
A child is usually at risk of developing Stargardt disease if their parents have it. Stargardt disease is caused by faulty genes (the ABCA4 gene) that must be passed down from both parents. A person who inherits the gene from only one parent will carry Stargardt disease, but won't exhibit symptoms. Some forms of Stargardt disease require a gene from just one parent to manifest symptoms, but they are extremely rare.
It is believed that genetic conditions are inherited either dominantly or recessively.
Dominant form
A dominant form of a disease occurs when only one faulty gene comes from one parent. If a parent has a faulty gene, there is a 50% chance that he or she will pass it on to their children. The chance for each child is the same regardless of his or her gender and order of birth.
Recessive form
The other form is recessive. In this case, both parents are responsible for passing on the defective gene. In the recessive form, neither parent has the condition, although both carry the faulty gene. Recessive inheritance has a 25% chance of passing on the condition to each child. The chance for each child is the same regardless of his or her gender and order of birth.
Usually, Stargardt disease is inherited as a recessive trait. A gene called ABCA4 on chromosome 1 is associated with this form of Stargardt disease. There is a less common dominant form of the disease caused by alterations to another gene called ELOVL4.
As part of the clinical diagnosis, eye doctors perform visual acuity tests, visual field tests, electroretinography (ERG), fundus autofluorescence (FAF), and optical coherence tomography (OCT), which reveal macular anomalies and yellow-white fishtail flecks that are usually restricted to the central macula.
Fluorescein angiography can also be used to diagnose stargardt disease. It involves injecting dye into your arm. As the dye circulates through the retina's blood vessels, it is photographed. The photos of people suffering from Stargardt disease reveal a dark area within the retinal tissue. In this way, the eye doctor can diagnose Stargardt disease.
There is now genetic testing available to determine exactly what type of macular degeneration a patient has. It is the most accurate way to determine your condition's genetic basis.
Currently, there is no treatment available for Stargardt disease. There are multiple clinical trials evaluating the efficacy of different treatments for stargardt disease including trials looking at gene therapy, cell therapy, and pharmacology.
There are steps you can take to maximize your remaining visual function and enjoy your life to the fullest after vision loss.
A large number of Americans are at risk of losing their ability to drive due to eye conditions, like macular degeneration and stargardt's disease, which can cause them to lose their license. Having such conditions can have a profound impact on mobility, employment, and independence.
While each state has its own laws, in most states, someone with vision loss can drive with the aid of bioptic telescope glasses or other devices that improve their vision.
A bioptic telescope consists of a pair of glasses with a telescope attached above your normal line of sight. These can be attached to your regular eyeglasses and can be used either for one or both of your eyes. Bioptic lenses magnify images just like binoculars and help you see things better. Using these lenses allows you to see things that are much further away, which is one of their main benefits.
See our page on the driving laws in Washington with low vision.
One of the ways that a low vision optometrist will help a patient with Stargardt’s is through the reduction of glare and the improvement of contrast. This can be done through the use of colored tints which filter out certain wavelengths of light or through the use of digital devices such as handheld or tabletop CCTV’s.
The following tints are effective at reducing glare and increasing contrast for low vision patients:
The bright light sensitivity associated with Stargardt disease can be reduced by wearing sunglasses. Sunglasses can also protect your retina from UV rays that cause retina damage. It is not recommended to take more vitamin A than the daily recommended amount.
Don't smoke and stay away from passive smoking. There is some evidence that this may slow down the progression of Stargardt disease.
When someone loses their vision, especially at a younger age, it can lead to severe impairment in their quality of life. A low vision optometrist will help guide the patient in the process of improving their remaining vision with the help of low vision devices such as magnification, telescopes, high-tech devices, CCTV and lighting.
In many cases, people who use low vision devices can read, drive, sew, play cards, work, go to school, watch TV, use a computer or cell phone, and more, which they could not do without them. Since every patient has unique needs, it is imperative that you speak to a low vision optometrist, because they are capable of helping you find the best low vision aid tailored to your needs.
There are more than 30,000 people in the United States who suffer from Stargardt Disease. Stargardt disease is the most common form of juvenile macular degeneration that affects children and adults. This condition affects the macula, an area of the retina responsible for sharp, central vision. Stargardt disease is characterized by progressive loss of central vision in both eyes. As of now, there is no cure for Stargardt disease, although there are many clinical trials exploring different treatment options. A low vision optometrist will help a patient with Stargardt to maximize their remaining vision by guiding them on the many different devices such as magnification, electronic devices, lightning, tints, and prisms that enable each patient to regain their independence. Call at (360) 491-2121 to schedule a low vision evaluation with our low vision optometrist.
Such a nice optician. My grandson is only 4 and needs glasses. We were so sad, but he explained the issues, and we will follow up as he suggested.
I had such a good experience with the clinic. Very friendly staff and doctor, did not have to wait for long to be called, and was treated respectfully. Thanks, American Family.
Dr. Zurcher has gone above and beyond what any other eye doctor has ever done to figure out what is going on with my eyes. Very happy with American Family Vision.
Family Vision Clinic changed our lives! My daughter was frequently car sick, and she was getting headaches every day, often painful enough that they brought her to tears. We saw a string of doctors and therapists, but we made no progress. Finally, we found Dr. Levi Zurcher and his eye therapist Rain. After ten weeks of eye therapy my daughter no longer gets headaches, and she no longer gets car sick. Daily tears are a thing of the past. I really can’t say enough about this clinic. It was fascinating to watch Dr. Zurcher work. For the first time, someone who knew what they were doing was intently studying my daughter, really trying to figure out all of her eye issues, and his therapist Rain is one of the most patient and lovely people that I’ve ever had the good fortune to meet. We’re finished with eye therapy—yay!—and I have switched to American Family Vision Clinic for all of my family’s other eye health needs.
Very professional, yet kind and helpful. They do what they can to make the appointment comfortable. I was running a bit late, I made sure ti call. They were able to switch me with a patient who was already there, they treated me with respect, and helped my son have confidence by getting him the eye care he needed that day. Thank you so much! Would recommend to anyone. It's a blessing that they care enough to work with people who have all different types of insurance from work to state coverage.
The staff is friendly. The Doc is very knowledgeable. The office is family friendly and everyone is so patient with the little ones.
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