Low vision management in heredomacular degeneration: a case report


  • Suneel Kumar Dixit Ahooja Eye and Dental Institute, Gurugram, Haryana, India
  • Mantasha Dilkash Dr. Agarwal’s Eye Hospital, Mumbai, Maharashtra, India
  • Nitesh Pradhan Department of Ophthalmology, Mahrishi Markandeshwar Institute of Medical Sciences and Research, Ambala, Haryana, India
  • Gaurav Dubey Department of Optometry, FPS, Uttar Pradesh University of Medical Sciences, Saifai Etawah, Uttar Pradesh, India http://orcid.org/0000-0002-5164-6034
  • Vibha Kumari Department of Paramedical Sciences, Jamia Hamdard, New Delhi, India
  • Jamshed Ali Department of Optometry, Era University, Lucknow, Uttar Pradesh, India
  • Razia Bano Department of Optometry, Nims Paramedical Technology, Nims University, Jaipur, Rajasthan, India
  • Richa Jangra Department of Optometry, CT University, Ludhiana, Punjab, India
  • Shamit Pal Department of Optometry, Teerthankar Mahaveer University, Moradabad, Uttar Pradesh, India




Low vision, Management, Heredomacular, Degeneration, Tomography


Low vision devices are used to improve the visual performance of patient with low vision, hence allowing them to carry out their daily activities. The objective was to provide best low vision correct to a patient with heredomacular degeneration. A 10 year old girl came to our OPD in September 2015. The patient had history of reduced vision in both eyes since, 1 year. She was now unable to distinguish writing on the school blackboard. Her mother had observed over the last 6 months that she held reading matter very close to his face. Her mother also reported that she preferred to study in dim illumination. The patient had no known precipitating factor and no family history of similar symptoms. The patient had history of using glasses. The patient was diagnosed to have adult onset heredomacular degeneration and explained that the visual prognosis is guarded. In view of no definite treatment for this condition, the patient was prescribed spectacles. Heredomacular degenerations tend to be progressive and a long-term follow up is required.


Metrics Loading ...

Author Biography

Gaurav Dubey, Department of Optometry, FPS, Uttar Pradesh University of Medical Sciences, Saifai Etawah, Uttar Pradesh, India



Hutchinson J. Symmetrical central choroido-retinal disease occurring in senile persons. R London Ophthalmic Hosp Rec J Ophthalmic Med Surg. 1874;8:231-44.

Batten RD. Two brothers with symmetrical disease of the macula, commencing at the age of 14. Trans Ophth Soc. 1897;17:48-9.

Batten RD. Cerebro-macular degeneration. Trans Ophth Soc. 1925;45(2):468.

Best F. Ueber eine hereditäre Macula Affektion. Zeit Augenh. 1905;13:199.

Stargardt K. Ueber familiäre, progressive degeneration in der Maculagegend des Auges. Arch Ophth. 1909;71:534.

Behr C. Die Heredodegeneration der Makula. Klin M Augenh. 1920;65:465.

Vossius A. Ueber die Bestsche familiäre Macula-degeneration. Arch Ophth. 1921;105:1050.

Weisel G. Beitrag zur Bestschen hereditären Maculaerkrankung. Inaug Disser Giessen. 1922.

Graefe A, Saemisch T, Hess CV. Graefe-Saemisch: Handbuch der gesamten Augenheilkunde. German: Nabu Press; 2012: 1204.

Dixit SK, Ahooja H, Sharma M, Dubey G, Tripathi H, Singh J, et al. Visual impairment affect: blind school survey at Gurugram Haryana India. Ann Roman Soc Cell Biol. 2021;25(1):2126-40.

Dilkash M, Banerjee S, Dubey G, Kumari V, Kumari R, Gupta D. Awareness, knowledge, and barriers to low vision services among eye care practitioners in Maharashtra. Int J Res Med Sci. 2021;9:3124-30.

Dilkash M, Banerjee S, Dubey G, Kumari V, Kumari R, Chandra M, et al. Challenges faced by patients with low vision during COVID-19. Int J Health Sci Res. 2021;11(9):67-74.

Şahlı E, İdil A. A common approach to low vision: examination and rehabilitation of the patient with low vision. Turk J Ophthalmol. 2019;49(2):89.






Case Reports