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Stargardt’s Disease Stargardt’s disease is an inherited maculopathy which frequently presents with a loss of central vision. Dr. Karl Stargardt first described this familial condition in 1909. Most people reserve the term for a macular dystrophy with yellow flecks. Early on there may be very few clues and the young person may be misdiagnosed with functional visual loss. Stargardt's disease should be on the list of causes of unexplained visual loss in a young adult. This young man was referred for possibly functional (spurious) visual loss. His macula had slightly granular appearance. The focal ERG was flat. A fluorescein angiogram showed no choroidal fluorescence typical of Stargardt's disease.