Table 2.
Clinical characteristics of patients with SLC38A8 mutations
Pedigree ID | Patient ID | Initial clinical diagnosis | Genetic diagnosis | Sex | Age (years) | Ethnicity | Refraction | BCVAa | Anterior Segment | Strabismus | Nystagmusb | Ultra-wide field imaging | OCTc | VEP | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
RE | LE | RE | LE | |||||||||||||
F1 | F1:II-1 | PAX6-related phenotype | SLC38A8 | F | 18 | Korean | +2.00–3.00 Ax180 | +2.00–3.00 Ax180 | 0.52 | 0.70 | Normal | No | PFS | N/A | Grade 3 | Chiasmal misrouting |
F1 | F1:II-2 | PAX6-related phenotype | SLC38A8 | M | 15.8 | Korean | −0.25 -3.00 Ax180 | −0.50 -4.00 Ax180 | 0.70 | 0.52 | Normal | Exotropia | DJ | N/A | Grade 3 | Chiasmal misrouting |
F2 | F2:II-1 | PAX6-related phenotype | SLC38A8 | M | 10 | Korean | +2.75–3.50 Ax180 | +3.25–2.75 Ax15 | 0.30 | 0.52 | Normal | No | PPFS | N/A | Grade 3 | Chiasmal misrouting |
F3 | F3:II-1 | Ocular albinism | SLC38A8 | M | 0.6 | Korean | +2.00–3.00 Ax180 | +2.00–4.00 Ax180 | CSM | CSM | Normal | No | BDJ | N/A | N/A | Chiasmal misrouting |
F4 | F4:II-1 | Idiopathic infantile nystagmus | SLC38A8 | M | 6 | Korean | +3.25–2.00 Ax180 | +2.75–2.50 Ax180 | 0.40 | 0.40 | Normal | No | BDJ | CMR | Grade 3 | Chiasmal misrouting |
F5 | F5:II-1 | PAX6-related phenotype | SLC38A8 | F | 14 | Korean | +4.50–4.00 Ax170 | +5.00–3.00 Ax180 | 0.30 | 0.52 | Normal | No | BDJ | N/A | Grade 3 | NA |
F5 | F5:II-2 | PAX6-related phenotype | SLC38A8 | M | 12 | Korean | +1.75–3.50 Ax180 | +2.00–3.50 Ax180 | 0.30 | 0.52 | Normal | Esotropia | BDJ | N/A | Grade 3 | NA |
F6 | F6:II-2 | PAX6-related phenotype | SLC38A8 | M | 27 | Korean | +2.00–2.00 Ax180 | +3.25–2.50 Ax10 | 0.52 | 0.40 | Normal | Exotropia | PFS | CMR | Grade 3 | Chiasmal misrouting |
F7 | F7:II-3 | ?FHONDA | SLC38A8 | F | 13 | Turkish | +1.00–2.00 Ax180 | +1.00–2.00 Ax180 | 0.78 | 0.64 | Normal | Esotropia | PFS | N/A | Grade 3 | Chiasmal misrouting |
F8 | F8:II-1 | Ocular albinism | SLC38A8 | M | 28 | Caucasian | +3.75–4.50 Ax180 | +4.00–4.00 Ax180 | 0.60 | 0.60 | TID | Esotropia | PAN | N/A | Grade 4 | Chiasmal misrouting |
F9 | F9:II-1 | Albinism | SLC38A8 | F | 36 | Caucasian | +1.25–1.25 Ax160 | +1.00–1.00 Ax180 | 0.64 | 0.60 | TID | Exotropia | BDJ | N/A | Grade 4 | Chiasmal misrouting |
aBCVA reported in logMAR.
bAll nystagmus was horizontal and conjugate with accelerating slow phases.
cStructural grading was based on the scheme previously described: Thomas M.G., Kumar A., Mohammad S. et al. Structural grading of foveal hypoplasia using spectral-domain optical coherence tomography a predictor of visual acuity? Ophthalmology 2011, 1653–1660.
Abbreviations: FHONDA = foveal hypoplasia with optic nerve decussation defects and anterior segment dysgenesis without albinism; F = female; M = male; RE = right eye; LE = left eye; BCVA = best corrected visual acuity; CSM = central steady and maintained; OCT = optical coherence tomography; VEP = visual evoked potentials; TID = trans-illumination defects of iris; BDJ = Bidirectional jerk; DJ = dual jerk; PPFS = pseudopendular with foveating saccades; PFS = pendular with foveating saccades; PAN = periodic alternating nystagmus; N/A = not available; CMR = concentric macular ring sign present.