Abstract
AIMS--The negative electroretinogram (ERG) is observed in many hereditary retinal disorders. However, no reports have described a negative ERG in a family with autosomal dominant cone-rod dystrophy. A Japanese family with autosomal dominant cone-rod dystrophy with negative ERG is described. METHOD--Members of a Japanese family with autosomal dominant cone-rod dystrophy were examined and evaluated with Goldmann and Humphrey perimetry, bright flash ERG with an intense white stimulus, rod, cone, and flicker ERGs, and fluorescein angiography. Molecular analysis of the rhodopsin and peripherin/RDS genes in the patients was also performed. RESULTS--A 45-year-old Japanese man (proband) presented with decreased visual acuity. His fundi revealed bull's eye maculopathy and his single flash bright ERG showed a negative configuration. Negative ERG responses also were found in his father, who had macular degeneration, and one of the proband's three children who showed no fundus changes. No irregularities were found in their rhodopsin or peripherin/RDS genes. CONCLUSION--The condition of this family is believed to represent a previously undescribed autosomal dominant cone-rod dystrophy.
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- Cideciyan A. V., Jacobson S. G. Negative electroretinograms in retinitis pigmentosa. Invest Ophthalmol Vis Sci. 1993 Nov;34(12):3253–3263. [PubMed] [Google Scholar]
- Deutman A. F. Benign concentric annular macular dystrophy. Am J Ophthalmol. 1974 Sep;78(3):384–396. doi: 10.1016/0002-9394(74)90225-6. [DOI] [PubMed] [Google Scholar]
- Fish G., Grey R., Sehmi K. S., Bird A. C. The dark choroid in posterior retinal dystrophies. Br J Ophthalmol. 1981 May;65(5):359–363. doi: 10.1136/bjo.65.5.359. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fishman G. A., Fishman M., Maggiano J. Macular lesions associated with retinitis pigmentosa. Arch Ophthalmol. 1977 May;95(5):798–803. doi: 10.1001/archopht.1977.04450050076006. [DOI] [PubMed] [Google Scholar]
- Kato M., Watanabe I. Bull's-eye maculopathy, negative electroretinogram and low plasma cyclic guanosine monophosphate level. A report of two cases. Doc Ophthalmol. 1990 Aug;75(1):23–32. doi: 10.1007/BF00142590. [DOI] [PubMed] [Google Scholar]
- Kearns T. P., Hollenhorst R. W. Chloroquine retinopathy. Evaluation by fluorescein fundus angiography. Arch Ophthalmol. 1966 Sep;76(3):378–384. doi: 10.1001/archopht.1966.03850010380016. [DOI] [PubMed] [Google Scholar]
- Kellner U., Foerster M. H. Cone dystrophies with negative photopic electroretinogram. Br J Ophthalmol. 1993 Jul;77(7):404–409. doi: 10.1136/bjo.77.7.404. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kikawa E., Nakazawa M., Chida Y., Shiono T., Tamai M. A novel mutation (Asn244Lys) in the peripherin/RDS gene causing autosomal dominant retinitis pigmentosa associated with bull's-eye maculopathy detected by nonradioisotopic SSCP. Genomics. 1994 Mar 1;20(1):137–139. doi: 10.1006/geno.1994.1142. [DOI] [PubMed] [Google Scholar]
- Krill A. E., Deutman A. F. Dominant macular degenerations. The cone dystrophies. Am J Ophthalmol. 1972 Mar;73(3):352–369. doi: 10.1016/0002-9394(72)90064-5. [DOI] [PubMed] [Google Scholar]
- Merin S., Landau J. Abnormal findings relatives of patients with juvenile hereditary macular degeneration (Stargardt's disease). Ophthalmologica. 1970;161(1):1–10. doi: 10.1159/000306086. [DOI] [PubMed] [Google Scholar]
- Miyake Y., Shiroyama N., Horiguchi M., Saito A., Yagasaki K. Bull's-eye maculopathy and negative electroretinogram. Retina. 1989;9(3):210–215. [PubMed] [Google Scholar]
- Miyake Y., Yagasaki K., Horiguchi M., Kawase Y., Kanda T. Congenital stationary night blindness with negative electroretinogram. A new classification. Arch Ophthalmol. 1986 Jul;104(7):1013–1020. doi: 10.1001/archopht.1986.01050190071042. [DOI] [PubMed] [Google Scholar]
- Peachey N. S., Fishman G. A., Derlacki D. J., Brigell M. G. Psychophysical and electroretinographic findings in X-linked juvenile retinoschisis. Arch Ophthalmol. 1987 Apr;105(4):513–516. doi: 10.1001/archopht.1987.01060040083038. [DOI] [PubMed] [Google Scholar]
- Spalton D. J., Taylor D. S., Sanders M. D. Juvenile Batten's disease: an ophthalmological assessment of 26 patients. Br J Ophthalmol. 1980 Oct;64(10):726–732. doi: 10.1136/bjo.64.10.726. [DOI] [PMC free article] [PubMed] [Google Scholar]
- van den Biesen P. R., Deutman A. F., Pinckers A. J. Evolution of benign concentric annular macular dystrophy. Am J Ophthalmol. 1985 Jul 15;100(1):73–78. doi: 10.1016/s0002-9394(14)74986-4. [DOI] [PubMed] [Google Scholar]