Table 1. Genetic Findings and Clinical Features of 9 Patients With Retinitis Pigmentosa (RP) With Mutations in CNGB1.
Patient No./Sex/Age, y | CNGB1 Mutation Sequence | RP Retinal Phenotype | Olfactory Phenotype/Function | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Age at Diagnosis, y | BCVA | Approximate Preserved Central Visual Field | Full-Field ERG | Refraction (Sphere/Cylinder)a | Additional Comments | Test Result Score | Classification in Relation to Healthy Controlsb | |||||
OD | OS | Scotopic Responses | Photopic Responses | OD | OS | |||||||
1/M/43 | c.[2210G>A(;)2763C>G] | 39 | 20/20 | 20/20 | 30° | Rod-specific undetectable, small mixed responses | Approximately 70% below lower normal limits | +0.25/−0.75 | −0.75/−0.75 | NA | TDI 27.5 | Hyposmia |
2/M/49 | c.[2957A>T(;)3044_3050del] | 42 | 20/40 | 20/32 | 20° | Undetectable | Undetectable | −4.0 /−0.75 | −3.75/−0.5 | NA | TDI 31.5 | Normosmia (borderline low) |
3/F/34 | c.[2492+1G>A];[(2492+1G>A)] | 30 | 20/20 | 20/20 | 25° | Undetectable | Small delayed b wave | −1.0/−0.5 | −0.75/−0.75 | NA | TDI 14.5 | Anosmia |
4/M/49c | c.[2284C>T];[2492+1G>A] | 49 | 20/20 | 20/20 | NP | Undetectable | Small delayed b wave | −3.25/−1.5 | −2.75/−0.75 | NA | TDI 25.5 | Hyposmia |
5/F/52c | c.[2284C>T];[2492+1G>A] | 30 | 20/25 | 20/20 | 10° | Undetectable | Undetectable | +1.25/−0.25 | +1.0/−0.50 | NA | TDI 26.25 | Hyposmia |
6/M/68 | c.[2284C>T];[(2284C>T)] | 45 | 20/40 | 20/32 | NP | NP | NP | +1.0/−1.5 | +0.5/−1.5 | Right eye pseudophakic | TDI 16.5 | Anosmia |
7/M/60 | c.[413-1G>A(;)3139_3142dup] | 25 | LP | LP | NP | Undetectable | Undetectable | −0.50/0 | −0.5/−0.5 | Able to read until age 55 y | TDI 20.5 | Hyposmia |
8/F/67 | c.[1312C>T];[(1312C>T)] | 8 | LP | NLPd | 2° | Undetectable | Undetectable | Approximately −10.0e | NP | Right eye pseudophakic, left eye phthisis bulbi,d both eyes glaucoma, high myopia | TDI 30.25 | Hyposmia (borderline high) |
9/M/79 | c.[2542_2543insA];[(2542_2543insA)] | Childhood | 20/400 | 20/25 | 10° | Undetectable | Undetectable | −0.5/0 | −0.75/−1.5 | Both eyes pseudophakic | T&T olfactometer 5.8f | Anosmia |
Abbreviations: BCVA, best-corrected visual acuity; ERG, electroretinography; LP, light perception; NA, not applicable; NLP, no light perception; NP, not performed; TDI, threshold for butanol, discrimination, and identification of odorants, assessed using the Sniffin’ Sticks (Burghart Messtechnik) test (1 to 16.5 indicates functional anosmia, >16.5 to 30.5 indicates hyposmia, and >30.5 indicates normosmia).
For pseudophakic patients, refraction before cataract surgery is given.
Age range, 16 to 35 years.
Patients 4 and 5 are brother and sister.
Phthisis bulbi with retinal detachment after glaucoma surgery.
Cataract surgery was performed before the patient's first visit and therefore, exact refraction before surgery is not known.
Testing with the T&T olfactometer (Daiichi Yakuhin Sangyo) produces a combined test score from threshold testing and odor identification for 5 odors each.