Table. Ocular Anomalies in Patients With EPAS1 Gain-of-Function Mutation Syndrome.
Variable | Patient | ||
---|---|---|---|
1a,b | 2a,b | 3a | |
Age at onset of diagnosed condition, y | |||
Polycythemia | 2 | Birth | Birth |
PGL/PHEO | 15 | 14 | 18 |
Ampullary somatostatinoma | 17 | 29 | 22 |
First evidence of eye disease | 3 | 5 | 18 |
Mutation analysis: tumors and circulating leukocytes | |||
EPAS1 gain-of-function mutation | P531S | A530T | A530V |
EPOR, HIF-1α, JAK2, PHD1/2, SDHB/C/D, VHL | Negative | Negative | Negative |
Clinical characteristics, Snellen | |||
Visual acuity at presentation to the NIH | |||
OD | 20/400 | 20/20 | 20/16 |
OS | 20/20 | 20/25 | 20/16 |
Pertinent family history | None | None | None |
Ophthalmic evaluation | |||
Age at time of ophthalmic evaluation, y | 15 | 32 | 24 |
Ophthalmoscopic imaging | |||
Fibrosis over the optic disc | |||
OD | Negative | Positive | Positive |
OS | Positive | Positive | Positive |
Optic disc edema | |||
OD | Positive | Negative | Negative |
OS | Negative | Negative | Negative |
Retinal vessel tortuosity | |||
OD | Positive | Positive | Positive |
OS | Positive | Negative | Positive |
Dilated veins | |||
OD | Positive | Positive | Positive |
OS | Negative | Positive | Positive |
Morning glory anomaly | |||
OD | Positive | Negative | Negative |
OS | Negative | Negative | Negative |
Retinal exudate | |||
OD | Positive | Negative | Negative |
OS | Negative | Negative | Negative |
RPE changes | |||
OD | Positive | Negative | Positive |
OS | Negative | Negative | Positive |
Fluorescein angiography | |||
Leakage from veins | |||
OD | Positive | Positive | NA |
OS | Positive | Positive | NA |
Peripheral retinal neovascularization | |||
OD | Negative | Positive | NA |
OS | Negative | Positive | NA |
Hemangiomatous lesions | |||
OD | Negative | Negative | NA |
OS | Negative | Positive | NA |
Optical coherence tomography | |||
Choroid thickness (reference range: 274 μm16), μm | |||
OD | 415 | 396 | 504 |
OS | 307 | 447 | 623 |
Abbreviations: EPOR, erythropoietin receptor; HIF-1α, hypoxia-inducible factor 1a; JAK2, janus kinase 2; NA, not applicable; NIH, National Institutes of Health; OD, right eye; OS, left eye; PGL/PHEO, paraganglioma or pheochromocytoma; PHD1/2, prolyl hydroxylase 1 and 2; RPE, retinal pigment epithelium; SDHB/C/D, succinate dehydrogenase B, C, and D; VHL, von Hippel-Lindau syndrome.
See also Därr et al.2
See also Pacak et al.17