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. 2019 Dec 26;138(2):148–155. doi: 10.1001/jamaophthalmol.2019.5244

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.

a

See also Därr et al.2

b

See also Pacak et al.17