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Ophthalmology and Visual Sciences

Batten Disease

Batten Disease

Category(ies): Genetics, Inherited Eye Disease, Retina
Contributor: Jeffrey D. Welder, MD
Photographer: Carol Chan, CRA
Posted: June 19, 2013

7-year-old female with molecularly confirmed CLN3-associated Batten Disease.

Fundus photos demonstrate mild optic nerve pallor, central macular mottling, attenuated arterioles and peripheral retinal granularity. There was 1+ vitreous cell present. Vision was 20/800 in the right eye and hand motion in the left. Batten disease is a fatal autosomal recessive neurodegenerative disease and is the most common neuronal ceroid lipofuscinosis.

OMIM #204200


Bullseye maculopathy in Batten Disease

Bullseye maculopathy in Batten Disease

Category(ies): Inherited Eye Diseases, Retina / Vitreous
Contributor: Ella J. Gehrke, MD; Arlene V. Drack, MD
Photographer: Douglas B. Critser, CRA, OCT-C, FOPS
Posted: 02/19/2025

Fundus photographs from the left eye (OS) of a 9-year-old female with molecularly confirmed CLN3-associated Batten disease.

Visual acuity at presentation was 20/40. Initial fundus photo shows a parafoveal hyperpigmentation consistent with bullseye maculopathy. The disc is pink, and there is normal vascular caliber.
Visual acuity at presentation was 20/40. Initial fundus photo shows a parafoveal hyperpigmentation consistent with bullseye maculopathy. The disc is pink, and there is normal vascular caliber.
At 5 years after presentation (age 14), visual acuity was 20/800, accounting for the off-center image. The macula has loss of the bullseye appearance, with degenerative hypopigmented appearance to the surrounding retina. There has been interval development of optic nerve pallor and vascular attenuation.
At 5 years after presentation (age 14), visual acuity was 20/800, accounting for the off-center image. The macula has loss of the bullseye appearance, with degenerative hypopigmented appearance to the surrounding retina. There has been interval development of optic nerve pallor and vascular attenuation.