Stargardt disease

Common Name(s)

Stargardt disease, Stargardt macular dystrophies

Stargardt disease, also known as Stargardt macular degeneration, is a genetic eye disorder that causes vision loss that gets worse with time (progressive). This disorder affects the macula, which is an area on the back of the eye (retina) that helps with vision used for detailed tasks such as reading, driving, and recognizing faces (sharp central vision). The disease is caused by a lack of proteins that help transport waste out of the cells in the retina that sense light (photoreceptor cells). Since the waste cannot be transported out of these cells, it builds up and causes damage to the macula, leading to the loss of vision. People with Stargardt disease also have problems with night vision and some people may also have problems seeing colors. The signs and symptoms of Stargardt disease typically appear between late childhood and early adulthood.

Stargardt disease is caused by changes (mutations) in either the ABCA4 gene, which is more common, or the ELOVL4 gene, which is rare. Both genes provide instructions for the body to make the waste transporting proteins. When the condition is caused by ABCA4 mutations, it is inherited in an autosomal recessive way, meaning a person needs a mutation in both of their ABCA4 copies to have the condition. When the condition is caused by ELOVL4 mutations, it is inherited in an autosomal dominant way, meaning a mutation in only one of the ELOVL4 copies a person has is enough to cause the condition.

If there are too many blood vessels or leakage of blood vessels under the macula, anti-VEFG drugs can be injected into the eye. Good nutrition and protection from ultraviolet (UV) rays have also been shown to slow the progression of the disease. If your child has been diagnosed with Stargardt disease, talk with their doctor about all current treatment options. Support groups can provide additional information and connect you with other families affected by Stargardt disease.

Source: Advocacy organizations associated with the condition.

 

Advocacy and Support Organizations

 

Condition Specific Organizations

Following organizations serve the condition "Stargardt disease" for support, advocacy or research.

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Foundation Fighting Blindness

The urgent mission of the Foundation Fighting Blindness is to drive the research that will provide preventions, treatments, and cures for people affected by retinitis pigmentosa, macular degeneration, Usher syndrome and the entire spectrum of retinal degenerative diseases.

Last Updated: 22 Sep 2015

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General Support Organizations

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How do you compare to others with this condition?

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Advocacy and Support Organizations

 

Condition Specific Organizations

Following organizations serve the condition "Stargardt disease" for support, advocacy or research.

Logo
Foundation Fighting Blindness

The urgent mission of the Foundation Fighting Blindness is to drive the research that will provide preventions, treatments, and cures for people affected by retinitis pigmentosa, macular degeneration, Usher syndrome and the entire spectrum of retinal degenerative diseases.

http://www.blindness.org

Last Updated: 22 Sep 2015

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General Support Organizations

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Scientific Literature

Articles from the PubMed Database

Research articles describe the outcome of a single study. They are the published results of original research.
The terms "Stargardt disease" returned 72 free, full-text research articles on human participants. First 3 results:

Flecks in Recessive Stargardt Disease: Short-Wavelength Autofluorescence, Near-Infrared Autofluorescence, and Optical Coherence Tomography.
 

Author(s): Janet R Sparrow, Marcela Marsiglia, Rando Allikmets, Stephen Tsang, Winston Lee, Tobias Duncker, Jana Zernant

Journal: Invest. Ophthalmol. Vis. Sci.. 2015 Jul;56(8):5029-39.

 

We evaluated the incongruous observation whereby flecks in recessive Stargardt disease (STGD1) can exhibit increased short-wavelength autofluorescence (SW-AF) that originates from retinal pigment epithelium (RPE) lipofuscin, while near-infrared AF (NIR-AF), emitted primarily from ...

Last Updated: 3 Aug 2015

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Objective Analysis of Hyperreflective Outer Retinal Bands Imaged by Optical Coherence Tomography in Patients With Stargardt Disease.
 

Author(s): Jason C Park, Frederick T Collison, Gerald A Fishman, Rando Allikmets, Jana Zernant, Michelle Liu, J Jason McAnany

Journal: Invest. Ophthalmol. Vis. Sci.. 2015 Jul;56(8):4662-7.

 

To develop and apply an objective algorithm for analyzing outer retinal layers imaged by spectral-domain optical coherence tomography (SD-OCT) in patients with Stargardt disease (STGD1).

Last Updated: 25 Jul 2015

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Near-infrared autofluorescence: its relationship to short-wavelength autofluorescence and optical coherence tomography in recessive stargardt disease.
 

Author(s): Vivienne C Greenstein, Ari D Schuman, Winston Lee, Tobias Duncker, Jana Zernant, Rando Allikmets, Donald C Hood, Janet R Sparrow

Journal: Invest. Ophthalmol. Vis. Sci.. 2015 May;56(5):3226-34.

 

We compared hypoautofluorescent (hypoAF) areas detected with near-infrared (NIR-AF) and short-wavelength autofluorescence (SW-AF) in patients with recessive Stargardt disease (STGD1) to retinal structure using spectral domain optical coherence tomography (SD-OCT).

Last Updated: 30 May 2015

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Reviews from the PubMed Database

Review articles summarize what is currently known about a disease. They discuss research previously published by others.
The terms "Stargardt disease" returned 1 free, full-text review articles on human participants. First 3 results:

Frequency of ABCA4 mutations in 278 Spanish controls: an insight into the prevalence of autosomal recessive Stargardt disease.
 

Author(s): R Riveiro-Alvarez, J Aguirre-Lamban, M Angel Lopez-Martinez, M Jose Trujillo-Tiebas, D Cantalapiedra, E Vallespin, A Avila-Fernandez, C Ramos, C Ayuso

Journal: Br J Ophthalmol. 2009 Oct;93(10):1359-64.

 

To determine the carrier frequency of ABCA4 mutations in order to achieve an insight into the prevalence of autosomal recessive Stargardt disease (arSTGD) in the Spanish population.

Last Updated: 25 Sep 2009

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Symptoms, Diagnosis, and Treatment

There are currently no related results available in GeneReviews.

 
 
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Clinical Trial Information This information is provided by ClinicalTrials.gov

Phase 2 Tolerability and Effects of ALK-001 on Stargardt Disease
 

Status: Recruiting

Condition Summary: Stargardt Disease; Stargardt Macular Degeneration; Stargardt Macular Dystrophy; Autosomal Recessive Stargardt Disease 1 (ABCA4-related)

 

Last Updated: 27 Oct 2015

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Novel Quantification Methods for Fluorescence to Detect Progression in Stargardt Disease
 

Status: Recruiting

Condition Summary: Stargardt Disease

 

Last Updated: 19 Sep 2012

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Last Updated: 14 Sep 2015

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