Table 2.
Retinal Imaging and Morphological Findings of 15 Patients with GUCY2D-RD
Fundus | FAF | SD-OCT | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Patient No. | Phenotype Subgroup | Macular Atrophy | Atrophy Along the Arcade | Peripheral Atrophy | Vessel Attenuation | Pigmentation | Comments | Area of Decreased Density at the Central Retina | Area of Increased Density at the Macula | Ring of Increased Density | Areas of Abnormal Density Along the Arcade | Areas of Abnormal Density Areas in the Periphery | Foveal Sparing Surrounded by Decreased Density at the Parafovea | Comments | Outer Retinal Disruption at the Fovea | Outer Retinal Disruption at the Parafovea | Increased Signal of the Choroid | EZ Preservation at the fovea (RE) | EZ Preservation at the fovea (LE) | Comments |
1 (MU01-01) | LCA | No | No | No | No | No | Funduscopy, normal | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | ||
2 (TMC01-01) | CORD | No | No | No | No | No | Normal | No | Yes | No | No | No | No | Slightly increased AF at the fovea | No | No | No | Yes | Yes | Loss of IZ at the macula |
3 (NU01-01) | CORD | No | No | No | Yes | No | Subtle diffuse disturbance at the posterior pole | NA | NA | NA | NA | NA | NA | No | Yes | No | Yes | Yes | Loss of IZ at the macula with ERM in the right eye | |
4 (KDU01-01) | CORD | Yes | No | No | No | No | Subtle fine dots at the macula | No | Yes | No | No | No | No | No | No | No | No | No | Loss of EZ/IZ at the fovea | |
5 (KDU01-02) | CORD | Yes | Yes | No | No | No | Intrachoroidal cavitaion in the left eye | Yes | No | Yes | No | No | No | Yes | Yes | Yes | No | No | Thinned sensory retina and loss of EZ/IZ at the macla; Intrachoroidal cavitaion at the left macula | |
6 (GU01-01) | CORD | No | No | No | No | No | Normal | No | Yes | No | No | No | No | Slightly increased AF at the fovea | No | No | No | Yes | Yes | Loss of IZ at the macula |
7 (TMC02-01) | CORD | Yes | Yes | Yes | Yes | Yes | Atrophic changes with at the posterior pole extended to the periphery | Yes | No | Yes | Yes | Yes | No | Yes | Yes | Yes | No | No | ||
8 (JU01-01) | CORD | No | No | No | No | No | Normal | No | Yes | Yes | No | No | No | Slightly increased AF at the fovea of the right eye | No | No | No | Yes | Yes | Loss of IZ at the macula |
9 (JU01-02) | CORD | Yes | No | No | No | No | Subtle fine dots at the macula | No | No | No | No | No | No | Slightly abnormal background | Yes | No | No | No | No | |
10 (JU01-03) | CORD | Yes | No | No | No | Yes | Pigmentation at the macula in both eyes, intrachoroidal cavitation in the left eye | Yes | No | No | No | No | No | Loss of AF signal at the macula | Yes | Yes | Yes | No | No | Intrachoroidal cavitation at the left macula. |
11 (JU02-01) | CORD | No | No | No | No | No | Essential normal except for optic disc cupping | No | Yes | No | No | No | Yes | No | No | No | Yes | Yes | Loss of IZ at the macula | |
12 (KDU02-01) | CORD | Yes | No | No | No | Yes | Yes | No | No | No | No | No | Artifact due to the medial condition | Yes | Yes | Yes | No | No | Thinned sensory retina and loss of EZ/IZ at the macula | |
13 (TMC03-01) | CORD | Yes | Yes | No | No | No | Intrachoroidal cavitation | Yes | No | No | No | No | No | Loss of AF signal at the macula | Yes | Yes | Yes | No | No | Thinned sensory retina/intrachoroidal cavitation at the macula |
14 (NU02-01) | CORD | No | No | No | No | No | Normal | NA | NA | NA | NA | NA | NA | No | No | No | No | No | Loss of EZ/IZ at the macula | |
15 (MU02-01) | MD | No | No | No | No | No | Subtle diffuse disturbance at the posterior pole | No | No | No | No | No | No | Slightly abnormal background | No | No | No | Yes | Yes | Loss of IZ at the macula |
BE, both eyes; EZ, ellipsoid zone; FAF, fundus autofluorescence; FS, foveal sparing; LE, left eye; M male; NA not available; RE, right eye; SD-OCT, spectral domain optical coherence tomography.
Foveal sparing was defined as remaining foveal AF signal surrounded by the area of decreased AF.