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. 1997 Jan;81(1):46–53. doi: 10.1136/bjo.81.1.46

Usher syndrome in the city of Birmingham—prevalence and clinical classification

C Hope 1, S Bundey 1, D Proops 1, A Fielder 1
PMCID: PMC1721995  PMID: 9135408

Abstract

AIMS—To estimate the prevalence of Usher syndrome in the city of Birmingham, and to establish a database of patients who have been classified into different clinical subtypes essential for future gene mutation analysis.
METHODS—Symptomatic cases of Usher syndrome (US) resident in the city of Birmingham in June 1994 were ascertained through multiple sources. Ophthalmic and audiological reassessment together with examination of medical records and patient questionnaires allowed classification of three subtypes, US 1, US 2, and US 3. In addition, family pedigrees were examined and blood was taken from index patients for DNA extraction.
RESULTS—In the population aged over 15 years the prevalence was 6.2 per 100 000 population for all US subtypes. The prevalence for US 1 and US 2 was 5.3 per 100 000 population. This is greater than previously reported. In the age group 30-49 years the prevalence approached 1 in 10 000. Clinical classification found 33% US 1, 47% US 2, and 20% US 3.
CONCLUSION—This higher prevalence rate and greater frequency of US 2 and US 3 may reflect a more complete ascertainment.



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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ammann F., Klein D., Franceschetti A. Genetic and epidemiological investigations on pigmentary degeneration of the retina and allied disorders in Switzerland. J Neurol Sci. 1965 Mar-Apr;2(2):183–196. doi: 10.1016/0022-510x(65)90079-1. [DOI] [PubMed] [Google Scholar]
  2. Boughman J. A., Fishman G. A. A genetic analysis of retinitis pigmentosa. Br J Ophthalmol. 1983 Jul;67(7):449–454. doi: 10.1136/bjo.67.7.449. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Boughman J. A., Vernon M., Shaver K. A. Usher syndrome: definition and estimate of prevalence from two high-risk populations. J Chronic Dis. 1983;36(8):595–603. doi: 10.1016/0021-9681(83)90147-9. [DOI] [PubMed] [Google Scholar]
  4. Fillman R. D., Leguire L. E., Rogers G. L., Bremer D. L., Fellows R. R. Screening for vision problems, including Usher's syndrome, among hearing impaired students. Am Ann Deaf. 1987 Jul;132(3):194–198. doi: 10.1353/aad.2012.0753. [DOI] [PubMed] [Google Scholar]
  5. Fishman G. A., Kumar A., Joseph M. E., Torok N., Anderson R. J. Usher's syndrome. Ophthalmic and neuro-otologic findings suggesting genetic heterogeneity. Arch Ophthalmol. 1983 Sep;101(9):1367–1374. doi: 10.1001/archopht.1983.01040020369005. [DOI] [PubMed] [Google Scholar]
  6. Grøndahl J. Estimation of prognosis and prevalence of retinitis pigmentosa and Usher syndrome in Norway. Clin Genet. 1987 Apr;31(4):255–264. doi: 10.1111/j.1399-0004.1987.tb02804.x. [DOI] [PubMed] [Google Scholar]
  7. Grøndahl J., Mjøen S. Usher syndrome in four Norwegian counties. Clin Genet. 1986 Jul;30(1):14–28. doi: 10.1111/j.1399-0004.1986.tb00564.x. [DOI] [PubMed] [Google Scholar]
  8. HALLGREN B. Retinitis pigmentosa combined with congenital deafness; with vestibulo-cerebellar ataxia and mental abnormality in a proportion of cases: A clinical and genetico-statistical study. Acta Psychiatr Scand Suppl. 1959;34(138):1–101. [PubMed] [Google Scholar]
  9. Hinderlink J. B., Brokx J. P., Mens L. H., van den Broek P. Results from four cochlear implant patients with Usher's syndrome. Ann Otol Rhinol Laryngol. 1994 Apr;103(4 Pt 1):285–293. doi: 10.1177/000348949410300405. [DOI] [PubMed] [Google Scholar]
  10. Kaplan J., Gerber S., Bonneau D., Rozet J. M., Delrieu O., Briard M. L., Dollfus H., Ghazi I., Dufier J. L., Frézal J. A gene for Usher syndrome type I (USH1A) maps to chromosome 14q. Genomics. 1992 Dec;14(4):979–987. doi: 10.1016/s0888-7543(05)80120-x. [DOI] [PubMed] [Google Scholar]
  11. Kimberling W. J., Möller C. G., Davenport S. L., Lund G., Grissom T. J., Priluck I., White V., Weston M. D., Biscone-Halterman K., Brookhouser P. E. Usher syndrome: clinical findings and gene localization studies. Laryngoscope. 1989 Jan;99(1):66–72. doi: 10.1288/00005537-198901000-00013. [DOI] [PubMed] [Google Scholar]
  12. Kimberling W. J., Möller C. G., Davenport S., Priluck I. A., Beighton P. H., Greenberg J., Reardon W., Weston M. D., Kenyon J. B., Grunkemeyer J. A. Linkage of Usher syndrome type I gene (USH1B) to the long arm of chromosome 11. Genomics. 1992 Dec;14(4):988–994. doi: 10.1016/s0888-7543(05)80121-1. [DOI] [PubMed] [Google Scholar]
  13. Kimberling W. J., Weston M. D., Möller C., Davenport S. L., Shugart Y. Y., Priluck I. A., Martini A., Milani M., Smith R. J. Localization of Usher syndrome type II to chromosome 1q. Genomics. 1990 Jun;7(2):245–249. doi: 10.1016/0888-7543(90)90546-7. [DOI] [PubMed] [Google Scholar]
  14. Kloepfer H. W., Laguaite J. K. The hereditary syndrome of congenital deafness and retinitis pigmentosa. (Usher's syndrome). Laryngoscope. 1966 May;76(5):850–862. doi: 10.1288/00005537-196605000-00004. [DOI] [PubMed] [Google Scholar]
  15. Lewis R. A., Otterud B., Stauffer D., Lalouel J. M., Leppert M. Mapping recessive ophthalmic diseases: linkage of the locus for Usher syndrome type II to a DNA marker on chromosome 1q. Genomics. 1990 Jun;7(2):250–256. doi: 10.1016/0888-7543(90)90547-8. [DOI] [PubMed] [Google Scholar]
  16. MORTON N. E. Genetic tests under incomplete ascertainment. Am J Hum Genet. 1959 Mar;11(1):1–16. [PMC free article] [PubMed] [Google Scholar]
  17. Möller C. G., Kimberling W. J., Davenport S. L., Priluck I., White V., Biscone-Halterman K., Odkvist L. M., Brookhouser P. E., Lund G., Grissom T. J. Usher syndrome: an otoneurologic study. Laryngoscope. 1989 Jan;99(1):73–79. doi: 10.1288/00005537-198901000-00014. [DOI] [PubMed] [Google Scholar]
  18. Nuutila A. Dystrophia retinae pigmentosa--dysacusis syndrome (DRD): a study of the Usher- or Hallgren syndrome. J Genet Hum. 1970 May;18(1):57–88. [PubMed] [Google Scholar]
  19. Pakarinen L., Karjalainen S., Simola K. O., Laippala P., Kaitalo H. Usher's syndrome type 3 in Finland. Laryngoscope. 1995 Jun;105(6):613–617. doi: 10.1288/00005537-199506000-00010. [DOI] [PubMed] [Google Scholar]
  20. Piazza L., Fishman G. A., Farber M., Derlacki D., Anderson R. J. Visual acuity loss in patients with Usher's syndrome. Arch Ophthalmol. 1986 Sep;104(9):1336–1339. doi: 10.1001/archopht.1986.01050210090031. [DOI] [PubMed] [Google Scholar]
  21. Pieke Dahl S., Kimberling W. J., Gorin M. B., Weston M. D., Furman J. M., Pikus A., Möller C. Genetic heterogeneity of Usher syndrome type II. J Med Genet. 1993 Oct;30(10):843–848. doi: 10.1136/jmg.30.10.843. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Regenbogen L., Godel V. Ocular deficiencies in deaf children. J Pediatr Ophthalmol Strabismus. 1985 Nov-Dec;22(6):231–233. doi: 10.3928/0191-3913-19851101-07. [DOI] [PubMed] [Google Scholar]
  23. Sankila E. M., Pakarinen L., Käriäinen H., Aittomäki K., Karjalainen S., Sistonen P., de la Chapelle A. Assignment of an Usher syndrome type III (USH3) gene to chromosome 3q. Hum Mol Genet. 1995 Jan;4(1):93–98. doi: 10.1093/hmg/4.1.93. [DOI] [PubMed] [Google Scholar]
  24. Smith R. J., Lee E. C., Kimberling W. J., Daiger S. P., Pelias M. Z., Keats B. J., Jay M., Bird A., Reardon W., Guest M. Localization of two genes for Usher syndrome type I to chromosome 11. Genomics. 1992 Dec;14(4):995–1002. doi: 10.1016/s0888-7543(05)80122-3. [DOI] [PubMed] [Google Scholar]
  25. Tamayo M. L., Bernal J. E., Tamayo G. E., Frias J. L., Alvira G., Vergara O., Rodriguez V., Uribe J. I., Silva J. C. Usher syndrome: results of a screening program in Colombia. Clin Genet. 1991 Oct;40(4):304–311. doi: 10.1111/j.1399-0004.1991.tb03100.x. [DOI] [PubMed] [Google Scholar]
  26. Vernon M. Usher's syndrome--deafness and progressive blindness. Clinical cases, prevention, theory and literature survey. J Chronic Dis. 1969 Aug;22(3):133–151. doi: 10.1016/0021-9681(69)90055-1. [DOI] [PubMed] [Google Scholar]
  27. Young N. M., Mets M. B., Hain T. C. Early diagnosis of Usher syndrome in infants and children. Am J Otol. 1996 Jan;17(1):30–34. [PubMed] [Google Scholar]
  28. van Rijn P. M., Cremers C. W. Causes of childhood deafness at a Dutch school for the hearing impaired. Ann Otol Rhinol Laryngol. 1991 Nov;100(11):903–908. doi: 10.1177/000348949110001109. [DOI] [PubMed] [Google Scholar]

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