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. 2011 Aug 23;17:2272–2282.

Table 3. Clinical differences between disorders caused by bestrophin-1 (BEST1) mutations.

Clinical signs Best disease[28,33-35,38,39] ARB [8-10] ADVIRC [3-7] Concentric RP [13] AVMD [11,12]
Mode of inheritance
Autosomal dominant
Autosomal recessive
Autosomal dominant
Autosomal dominant
Autosomal dominant
Fundus lesion
Central macula vitelliform lesions
Diffuse RPE disturbance and dispersed punctate flecks, subretinal fluid may fluctuate
Peripheral circumferential pigmentation, and peripapillary chorioretinal atrophy
Foveal deposits, prone to serous retinal detachments. Intraretinal bone spicule pigmentation - often showing an abrupt change between normal and abnormal retina
Milder phenotype characterized by RPE atrophy; small drusen-like deposits in the paracentral region
Lens changes
Not known
Not known
Spherophakia and cataract
Cataract
Nil
Refraction
One third ≥ +3.00 DS
Range from +0.25 to +4.75 DS
−2.50 DS to +15.00 DS depending on axial biometry / presence of posterior staphyloma
Limited data suggest marked interfamilial variability from high hyperopia to high myopia
Unknown
Other features
ACG
ACG
ACG, microcornea, iris dysgenesis, and posterior staphyloma
Nil
Nil
EOG findings of relevance to this study Normal/ near-normal EOGs reported for p.F305S/L, p.A243V, p.I295del No cases of affected individuals with normal EOGs to date Marked inter and intra-familial variability for EOG findings EOGs not tested Mildly reduced EOG for p.A243V

Abbreviations: ARB represents autosomal recessive bestrophinopathy; ADVIRC represents autosomal dominant vitreoretinochoroidopathy; RP represents retinitis pigmentosa; AVMD represents adult vitelliform macular dystrophy; RPE represents retinal pigment epithelium; DS represents diopters sphere; ACG represents angle-closure glaucoma; EOG represents electrooculography.