OMD returns negative results for a funduscopic inspection, fluorescein angiogram, and full-field electroretinogram (ERG), for both rod and cone components. The key to diagnosing this disorder is the multifocal ERG (mfERG), providing a single procedure for diagnosis. Onset is known to range from age 6 to 81, with about half of onsets occurring after age 65. Differential diagnosis A visual field test can differentiate between whether the reduced visual acuity is centered on the optic nerve or the fundus. Once a neurological problem has, therefore, been ruled out, the disorder's reduced visual acuity without visible fundus abnormalities may be misdiagnosed as optic neuritis, dominant optic atrophy, amblyopia, or nonorganic visual disorder. The combination of weak amplitudes in the mfERG with no visible fundus abnormalities then rules out other explanations. For example, OMD presents negative for a full-field ERG while retinitis pigmentosa presents abnormal.
Occult macular dystrophy
Meesmann corneal dystrophy
Granular corneal dystrophy
Vitelliform macular dystrophy
Posterior polymorphous corneal dystrophy
Lattice corneal dystrophy
Subepithelial mucinous corneal dystrophy
Infiltrative ophthalmopathy