Peripapillary Sparing in Autosomal Recessive Bestrophinopathy
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Peripapillary Sparing in Autosomal Recessive Bestrophinopathy. / Birtel, Johannes; Gliem, Martin; Herrmann, Philipp; MacLaren, Robert E; Bolz, Hanno J; Charbel Issa, Peter.
In: OPHTHALMOL RETINA, Vol. 4, No. 5, 05.2020, p. 523-529.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Peripapillary Sparing in Autosomal Recessive Bestrophinopathy
AU - Birtel, Johannes
AU - Gliem, Martin
AU - Herrmann, Philipp
AU - MacLaren, Robert E
AU - Bolz, Hanno J
AU - Charbel Issa, Peter
N1 - Copyright © 2019 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.
PY - 2020/5
Y1 - 2020/5
N2 - PURPOSE: To demonstrate that peripapillary sparing on autofluorescence images is a characteristic feature of autosomal recessive bestrophinopathy (ARB).DESIGN: Retrospective, cross-sectional case series and review of previous published cases.PARTICIPANTS: Twelve patients with ARB.METHODS: Ophthalmic assessment included best-corrected visual acuity testing, electrophysiologic examinations, and multimodal retinal imaging. Retinal imaging included OCT, blue-light autofluorescence imaging, fundus photography, and widefield pseudocolor and autofluorescence fundus imaging.MAIN OUTCOME MEASURES: Presence of peripapillary sparing on fundus autofluorescence images.RESULTS: Relatively normal-appearing peripapillary autofluorescence was identified in all patients, independent of the disease stage or presence of widespread changes on autofluorescence widefield images. OCT images of the peripapillary region revealed mild structural abnormalities, including a thinned outer nuclear layer and intraretinal or subretinal fluid. A review of previously published cases confirmed peripapillary sparing as consistent feature on fundus autofluorescence images. Genetic analysis revealed 10 previously reported mutations, 1 novel missense (c.83T>A; p.Ile28Asn) and 2 novel truncating (c.658C>T; p.Gln220* and c.1370C>G; p.Ser457*) variants in BEST1.CONCLUSIONS: In ARB patients, peripapillary sparing is a consistent feature on fundus autofluorescence images, whereas the same region is less preserved on OCT images.
AB - PURPOSE: To demonstrate that peripapillary sparing on autofluorescence images is a characteristic feature of autosomal recessive bestrophinopathy (ARB).DESIGN: Retrospective, cross-sectional case series and review of previous published cases.PARTICIPANTS: Twelve patients with ARB.METHODS: Ophthalmic assessment included best-corrected visual acuity testing, electrophysiologic examinations, and multimodal retinal imaging. Retinal imaging included OCT, blue-light autofluorescence imaging, fundus photography, and widefield pseudocolor and autofluorescence fundus imaging.MAIN OUTCOME MEASURES: Presence of peripapillary sparing on fundus autofluorescence images.RESULTS: Relatively normal-appearing peripapillary autofluorescence was identified in all patients, independent of the disease stage or presence of widespread changes on autofluorescence widefield images. OCT images of the peripapillary region revealed mild structural abnormalities, including a thinned outer nuclear layer and intraretinal or subretinal fluid. A review of previously published cases confirmed peripapillary sparing as consistent feature on fundus autofluorescence images. Genetic analysis revealed 10 previously reported mutations, 1 novel missense (c.83T>A; p.Ile28Asn) and 2 novel truncating (c.658C>T; p.Gln220* and c.1370C>G; p.Ser457*) variants in BEST1.CONCLUSIONS: In ARB patients, peripapillary sparing is a consistent feature on fundus autofluorescence images, whereas the same region is less preserved on OCT images.
KW - Adolescent
KW - Adult
KW - Aged
KW - Bestrophins/genetics
KW - Cross-Sectional Studies
KW - Electroretinography
KW - Eye Diseases, Hereditary/diagnosis
KW - Female
KW - Fluorescein Angiography/methods
KW - Fundus Oculi
KW - Humans
KW - Male
KW - Middle Aged
KW - Optic Disk/pathology
KW - Retina/pathology
KW - Retinal Diseases/diagnosis
KW - Retrospective Studies
KW - Tomography, Optical Coherence/methods
KW - Young Adult
U2 - 10.1016/j.oret.2019.12.008
DO - 10.1016/j.oret.2019.12.008
M3 - SCORING: Journal article
C2 - 32147488
VL - 4
SP - 523
EP - 529
JO - OPHTHALMOL RETINA
JF - OPHTHALMOL RETINA
SN - 2468-6530
IS - 5
ER -