Fundus flavimaculatus (Stargardt's disease) is a bilateral, symmetrical and progressive macular dystrophy, that usually starts between the ages of 6 and 20 years and rapidly leads to loss of central vision. Although the fundus may initially appear normal, atrophic macular changes appear. The macular dystrophy is frequently associated with fundus flavimaculatus flecks, the number of which usually increases with time. These flecks are more dense in the posterior pole but are classically absent in the peripapillary region. They gradually decrease in number towards the equator of the fundus. The central atrophy becomes gradually more apparent, giving rise to an aspect of central choroidal sclerosis. The flavimaculatus flecks may eventually fade.
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