Table 1.
Clinical, electrophysiological and psychophysical data
MV, born 2001 RPE65 mutation homozygous P25L |
At 3 years | At 4.5 years | At 6/7 years | ||
---|---|---|---|---|---|
BCVA OD / OS | 1.2 / 1.0 LEA 3m | 1.2 / 1.0 LEA 3m | 0.63 / 0.63 E | ||
Refraction | OD +3.0 sph OS +3.0 sph |
OD +2.5 sph / −0.5 cyl A0° OS +2.75 sph |
OD +0.5 / −0.25 cyl A32° OS +0.75 / − 0.25 <A80° |
||
Fundus | Relatively “blond” fundus (Fig. 1A) | “Blond” fundus and increased visibility of choroidal vessels |
Small macular reflex (Fig. 1B) | ||
Goldmann Visual Field - OD + OS | nd | nd | V/4e, III/4e normal I/4e slightly constricted* |
||
2CT perimetry 30° OS | nd | nd | Dark adapted: mostly cone mediation Light adapted. CSL 1.5 log (Fig. 2) |
||
Fullfield ERG | Fig. 5 | ||||
Scotopic Maximal Response |
Ampl |
OD OS |
Minimal residual Minimal residual |
16% / 21% 22% / 26% |
Minimal residual 25% / 15% |
Impl |
OD OS |
√ √ |
√ | ||
Photopic 30 Hz-Flicker |
Ampl |
OD OS |
7% 12% |
50% 50% |
50% 50% |
Impl |
OD OS |
√ √ |
√ √ |
√ √ |
|
Photopic Single Flash |
Ampl |
OD OS |
9% / 15% 16% / 23% |
32% / 34% 30% / 33% |
41% / 51% 15% / 26% |
Impl |
OD OS |
√ √ |
√ √ |
√ √ |
|
Lanthony Panel D15 OD + OS | nd | nd | Saturated normal Desaturated very few errors along blue axis |
||
FAF OD + OS | Very low (Fig. 1C) | Very low | Very low (Fig. 1C, middle) | ||
OCT Stratus | Layering grossly preserved (Fig. 2B) | Layering preserved | Layering grossly preserved (Fig 2C) | ||
OCT Spectralis HRA-OCT | Altered layering outer retina + thinning (Figure 2D) |
CSL, cone Sensitivity loss; nd, not done; sph, spheric; cyl, cylinder; LEA, Lea cards; E, E-signs; √, within normal range.