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Imaging revealed characteristic retinal changes, including flecks and atrophic lesions, which were correlated with genotype and clinical presentation. Genotype\u2013phenotype correlation demonstrated the influence of specific ABCA4 mutations on disease severity. MMI proved valuable in detecting subclinical changes, distinguishing disease stages and providing prognostic insights. Genetic analysis remains essential for definitive diagnosis, particularly in atypical presentations. This report emphasises the importance of integrating imaging findings with clinical and genetic data to enhance diagnostic accuracy and patient care, especially in resource-limited settings, where genetic testing may not be readily available.<\/jats:p>","DOI":"10.1136\/bcr-2023-257508","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T15:55:11Z","timestamp":1747065311000},"page":"e257508","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Multimodal imaging in autosomal recessive Stargardt\u2019s disease"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2125-4329","authenticated-orcid":false,"given":"Sagar","family":"Agarwal","sequence":"first","affiliation":[{"name":"Ophthalmology, Janki Eye Clinic, Khatima, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2622-2397","authenticated-orcid":false,"given":"Madhurima A","family":"Nayak","sequence":"additional","affiliation":[{"name":"Ophthalmology, Father Muller Medical College, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1320-5971","authenticated-orcid":false,"given":"Shilpa","family":"Sood","sequence":"additional","affiliation":[{"name":"Ophthalmology, Garg Eye Hospital, Kangra, Himachal Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"2025082710045965000_18.5.e257508.1","unstructured":"Blacharski PA . 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