Table 1.
Subject | Sex/Age | Stage | BCVA (OD, OS) | Fundus Findings | Disease-Associated Variants in ABCA4 | Full-Field ERG |
---|---|---|---|---|---|---|
1 | F/31 | 1 | 20/125, 20/125 | OU: Atrophic macular lesion with parafoveal flecks | Heterozygous: Q636X | Normal rod, normal cone |
2 | F/41 | 1 | 20/25, 20/40 | OU: Bull’s eye–appearing lesion with parafoveal flecks | No mutation found | Normal rod, normal cone |
3 | F/45 | 1 | 20/25, 20/20 | OU: Bull’s eye–appearing lesion with parafoveal flecks | Compound heterozygous: I975M and K1978E | — |
4* | M/21 | 1 | 20/40, 20/40 | OU: Bull’s eye–appearing lesion with parafoveal flecks | Compound heterozygous: R219T, W439X, and G863A | Normal rod, normal cone |
5* | F/23 | 1 | 20/30, 20/20 | OU: Bull’s eye–appearing lesion with parafoveal flecks | Compound heterozygous: R219T, W439X, and G863A | — |
6 | F/32 | 1 | 20/80, 20/125 | OU: Bull’s eye–appearing lesion with parafoveal flecks | No mutation found | — |
7 | F/30 | 1 | 20/25, 20/25 | OU: Bull’s eye–appearing lesion with parafoveal flecks | Heterozygous: R2077W | Normal rod, normal cone |
8 | M/33 | 2 | 20/125, 20/160 | OU: Bull’s eye–appearing lesion with flecks throughout posterior pole | Heterozygous: K2056X | Normal rod, normal cone |
9 | M/47 | 2 | 20/160, 20/40 | OU: Bull’s eye–appearing lesion with flecks throughout posterior pole | Heterozygous: E1087K | Normal rod, subnormal cone |
10 | F/42 | 2 | 20/25, 20/25 | OU: Bull’s eye–appearing lesion with flecks throughout posterior pole | Compound heterozygous: G550R and R2030Q | Normal rod, normal cone |
11 | F/32 | 2 | 20/200, 20/200 | OU: Hyperpigmented atrophic macular lesion with flecks throughout posterior pole | Heterozygous: IVS38-10 T>C | Normal rod, subnormal cone |
12 | F/21 | 2 | 20/160, 20/160 | OU: Atrophic RPE changes in macula with flecks throughout the posterior pole | No mutation found | Normal rod, subnormal cone |
13 | F/60 | 2 | 20/20, 20/20 | OU: No evidence of an atrophic lesion in the fovea, diffuse flecks throughout posterior pole, fundus flavimaculatus phenotype | Compound heterozygous: G1961E and G1532N | — |
14 | F/34 | 3 | 20/200, 20/250 | OU: Severe RPE and choroidal atrophic changes in macula and throughout posterior pole and midperiphery, flecks throughout posterior pole | Compound heterozygous: G818E and C1488R | Subnormal rod, subnormal cone |
15 | M/47 | 3 | 20/64, 20/125 | OU: Atrophic macular lesion with relative foveal sparing, flecks throughout posterior pole | Compound heterozygous: G863A and IVS1-2A>G | — |
16* | M/40 | 3 | 20/200, 20/160 | OU: Severe RPE and choroidal atrophic changes in macula and throughout posterior pole and midperiphery, parafoveal flecks at onset | Compound heterozygous: IVS38-10 T>C and IVS40+5 G>A | Subnormal rod, subnormal cone |
17 | M/53 | 3 | 20/25, 20/32 | OU: Marked RPE and choroidal atrophic changes in the macula with relative foveal sparing, resorbing flecks apparent throughout posterior pole | Heterozygous: G1975R | — |
18* | F/53 | 3 | 20/200, 20/250 | OU: Severe RPE and choroidal atrophic changes in macula and throughout posterior pole and midperiphery, parafoveal flecks at onset | Compound heterozygous: IVS38-10 T>C and IVS40+5 G>A | Subnormal rod, subnormal cone |
19* | M/50 | 3 | 20/160, 20/250 | OU: Severe RPE and choroidal atrophic changes in macula and throughout posterior pole and midperiphery, parafoveal flecks at onset | Compound heterozygous: IVS38-10 T>C and IVS40+5 G>A | Subnormal rod, subnormal cone |
20 | F/34 | 3 | 20/160, 20/160 | OU: Bull’s-eye appearing lesion with flecks throughout posterior pole | Compound heterozygous: L541P, A1038V, and D576H | Subnormal rod, subnormal cone |
21* | M/39 | 3 | 20/250, 20/250 | OU: Severe RPE and choroidal atrophic changes in macula and throughout posterior pole and midperiphery, parafoveal flecks at onset | Compound heterozygous: IVS38-10 T>C and IVS40+5 G>A | — |
22 | M/60 | 3 | 20/20, 20/20 | OU: Marked RPE and choroidal atrophic changes in the macula and throughout posterior pole with relative foveal sparing, few residual fundus flecks apparent | No mutation found | Subnormal rod, subnormal cone |
M, male; F, female; OD, right eye; OS, left eye; OU, both eyes; BCVA, best-corrected visual acuity.
Same family.