Table 3.
Family | Affected members | Age | First symptom | BCVA | ffERG | Fundus examination | Slit‐lamp biomicroscopy | OCT | Keratoconus |
Hearing status (audiometry) |
Inherited retinopathy phenotype | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
At exam | Onset | OD | OS | Scotopic response | Photopic response | OD | OS | OD | OS | |||||||
1A | IV‐7 | 49 | 10 | Low VA | CF at 1.25 m | 0.05 | Severely reduced | Severely reduced | Typical RP | Typical RP | No cataract | Central atrophic maculopathy with no CME | Central atrophic maculopathy with no CME | Topographic keratoconus in both eyes | Normal | RP |
IV‐8 | 37 | 10 | Low VA | HM | HM | Severely reduced | Severely reduced | Typical RP | Typical RP |
No cataract Horizontal nystagmus |
Central atrophic maculopathy with no CME | Central atrophic maculopathy with no CME | No keratoconus | Normal | RP | |
V‐6 | 11 | 9 | Low VA | 0.1 | 0.1 | Slightly reduced | Normal | Atypical RP | Atypical RP | No cataract | Central atrophic maculopathy with no CME | Central atrophic maculopathy with no CME | No keratoconus | Normal | RP | |
V‐7 | 12 | 6 | Low VA | 0.1 | 0.1 | Slightly reduced | Normal | Atypical RP | Atypical RP | No cataract | Central atrophic maculopathy with no CME | Central atrophic maculopathy with no CME | No keratoconus | Normal | RP | |
1B | IV‐16 | 48 | 5 | Nyctalopia | HM | CF closely | Severely reduced | Severely reduced | Typical RP | Typical RP | PSCC in both eyes | Blurred OCT due to cataract | Blurred OCT due to cataract | No keratoconus | Bilateral moderate‐to‐severe hearing loss | USH III |
IV‐17a | 54 | 7 | Nyctalopia | No LP | 0.4 | Severely reduced | Severely reduced | Typical RP | Typical RP | Had cataract surgery in the left eye | Central atrophic maculopathy with no CME | Central atrophic maculopathy with no CME |
OD: cannot comment due to trauma OS: no keratoconus |
Bilateral moderate‐to‐severe hearing loss | USH III | |
IV‐18 | 44 | 6 | Nyctalopia | CF at 1 m | CF at 1.5 m | Severely reduced | Severely reduced | Typical RP | Typical RP | Posterior polar cataract with nuclear sclerosis | Mild central atrophic maculopathy with no CME | Mild central atrophic maculopathy with no CME | No keratoconus | Bilateral mild‐to‐moderate hearing loss | USH III | |
IV‐19 | 48 | 7 | Nyctalopia | CF at 2 m | CF at 2 m | Severely reduced | Severely reduced | Typical RP | Typical RP | PSCC in both eyes | Mild central atrophic maculopathy with no CME | Poor quality due to cataract | Keratometry not available | Not available | USH III | |
2 | II‐3 | 41 | 36 | Nyctalopia | 0.3 | CF at 2 m | Severely reduced | Severely reduced | Typical RP | Typical RP | PSCC in both eyes | Mild central atrophic maculopathy with no CME |
Mild central atrophic maculopathy CME with epiretinal membrane |
No keratoconus | Bilateral mild hearing loss | USH III |
3 | IV‐4 | NA | 11 | Low VA | CF at 1 m | 0.1 |
OD: severely reduced OS: moderately reduced |
Severely reduced | Atypical RP | Atypical RP | Congenital cataract in the left eye | Central atrophic maculopathy with no CME | Central atrophic maculopathy with no CME | No keratoconus | Normal | CRD |
4 | IV‐4 | 19 | 8 | Low VA | CF at 2 m | CF at 2 m | Slightly reduced | Moderately reduced | Atypical RP | Atypical RP | Had cataract surgery | Central atrophic maculopathy with no CME | Central atrophic maculopathy with no CME | No keratoconus | Normal | CRD |
IV‐6 | 24 | 8 | Low VA | CF at 2 m | CF at 2 m | Moderately reduced | Severely reduced | Atypical RP | Atypical RP | No cataract | Central atrophic maculopathy with no CME | Central atrophic maculopathy with no CME | No keratoconus | Normal | CRD |
Typical RP denotes the presence of the classical triad (attenuated arterioles, disc pallor, and bone spicules) in fundus photography. Atypical RP means that a part of the triad is missing.
Abbreviations: BCVA, best‐corrected visual acuity; CF, counting fingers; CME, cystoid macular edema; CRD, cone‐rod dystrophy; ffERG, full‐field electroretinography; HM, hand motion; LP, light perception; NA, not available; OCT, optical coherence tomography; OD, right rye; OS, left eye; PSCC, posterior subcapsular cataract; RP, retinitis pigmentosa; USH III, Usher syndrome III.
This patient had cataract surgery in the left eye, and his right eye was lost due to trauma.