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Living with Vitelliform macular dystrophy 2

A slowly progressing eye condition (Best disease) that blurs and distorts central vision, usually starting in childhood or the teen years.

Understanding Vitelliform macular dystrophy 2

Vitelliform macular dystrophy 2, or Best disease, is a slowly progressive form of macular degeneration.

People first have normal vision, then central vision gets blurrier and distorted (metamorphopsia). Side vision is not affected. It usually starts in childhood or the teen years.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Distorted vision (metamorphopsia)
  • Decreased central vision
  • Color vision differences
  • Swelling-like changes in the macula

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in BEST1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Foundation Fighting Blindness may keep lists of experts for this condition.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Foundation Fighting Blindness
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Foundation Fighting Blindness and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could BEST1 genetic testing confirm this?
How often should the retina be checked?
What are the chances of passing this on?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Dominant
GenesBEST1

It is typically caused by changes in the BEST1 gene. It is usually autosomal dominant, though autosomal recessive cases have been reported, and in a few cases the cause is unknown.

Genetic

Also known as: best disease; best macular dystrophy; best vitelliform macular dystrophy; best vitelliform macular dystrophy, multifocal; best1 retinopathy; bmd

Patient organizations

Source: NIH GARD · Vitelliform macular dystrophy 2GARD ID 182 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Vitelliform macular dystrophy 2.

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