Best's vitelliform macular dystrophy is an early onset, autosomal domi
nant macular degeneration. Linkage analysis has previously mapped a di
sease locus in this disorder to the pericentromeric region of chromoso
me 11. We examined two families, one of German and one of Irish origin
, both affected with this disorder. The Irish family (BTMD1) showed st
rong evidence for linkage to the previously reported locus on chromoso
me 11. Linkage of the disease locus to the same region of chromosome 1
1 has been significantly excluded in the German family (Fam E), thereb
y providing evidence of locus heterogeneity in this clinically unique
condition.