Retinal structure in young patients aged 10 years or less with Best vitelliform macular dystrophy

TY - JOUR

T1 - Retinal structure in young patients aged 10 years or less with Best vitelliform macular dystrophy

AU - Schatz, Patrik

AU - Sharon, Dror

AU - Al-Hamdani, Sermed

AU - Andréasson, Sten

AU - Larsen, Michael

PY - 2016/2/1

Y1 - 2016/2/1

N2 - PURPOSE: Our aim was to analyze retinal structure in young patients with Best disease with reference to future gene therapy.METHODS: This was a retrospective observational spectral domain optical coherence tomography study of four patients aged 10 years or less with Best disease.RESULTS: Findings ranged from subtle thickening at the level of the retinal pigment epithelium-photoreceptor interdigitation line, to subretinal fluid and precipitate-like changes at the level of the photoreceptor outer segments, and further to choroidal neovascularization. The photoreceptor inner segment ellipsoid layer could be visualized seemingly undisturbed above the vitelliform lesions, except in the case of choroidal neovascularization.CONCLUSIONS: Clinical variability is evident even among young patients aged 10 years or less with Best disease. The earliest structural alterations seem to occur at the level of the retinal pigment epithelium-photoreceptor interdigitation line. The photoreceptor inner segment seems to be unaffected unless choroidal neovascularization develops, which seems promising regarding future gene therapy.

AB - PURPOSE: Our aim was to analyze retinal structure in young patients with Best disease with reference to future gene therapy.METHODS: This was a retrospective observational spectral domain optical coherence tomography study of four patients aged 10 years or less with Best disease.RESULTS: Findings ranged from subtle thickening at the level of the retinal pigment epithelium-photoreceptor interdigitation line, to subretinal fluid and precipitate-like changes at the level of the photoreceptor outer segments, and further to choroidal neovascularization. The photoreceptor inner segment ellipsoid layer could be visualized seemingly undisturbed above the vitelliform lesions, except in the case of choroidal neovascularization.CONCLUSIONS: Clinical variability is evident even among young patients aged 10 years or less with Best disease. The earliest structural alterations seem to occur at the level of the retinal pigment epithelium-photoreceptor interdigitation line. The photoreceptor inner segment seems to be unaffected unless choroidal neovascularization develops, which seems promising regarding future gene therapy.

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1007/s00417-015-3025-z

DO - 10.1007/s00417-015-3025-z

M3 - Journal article

C2 - 25940553

SN - 0721-832X

VL - 254

SP - 215

EP - 221

JO - Graefe's Archive for Clinical and Experimental Ophthalmology

JF - Graefe's Archive for Clinical and Experimental Ophthalmology

IS - 2

ER -