A 12-year-old girl presented with severe deterioration in vision over several months, worse in the right eye. On examination, she was unable to count fingers or perceive light using her right eye, and the red reflex was absent (Fig. 1). Funduscopy showed a chronic retinal detachment and severe chorioretinal atrophy with punched-out lesions in the periphery of the retina, consistent with gyrate atrophy. Similar but milder peripheral retinal findings were seen on the left (Fig. 2). The patient’s father was Finnish and there was no consanguinity.
WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.
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Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.