“…In classical juvenile NCL blindness is the initial symptom, and patients may first be seen by ophthalmologists or further investigated when attending a school for the blind. Visual impairment and blindness are of the retinal type, documented funduscopically and electroretinographically, confirmed by morphological studies which have revealed identical retinal degeneration, though different in degree, in infantile NCL , in late-infantile NCL [Goebel et al, 1977], and in classical juvenile NCL [Goebel et al, 1974], whereas retinal morphology has not yet been reported in early-juvenile or protracted juvenile NCL.Adult NCL differs from childhood forms of NCL by lack of visual impairment [Kufs, 1925;Berkovic et al, 1988] and of morphological retinal degeneration [Kufs, 1929;Martin et al, 1987;Berkovic et al, 1988]. This absence of retinal degeneration in NCL has actually prompted a report on 'A Case of Childhood Kufs' Disease' [BarthezCarpentier et al, 1991].…”