Table 1.
Patient, Sex | Symptoms | BCVA at First Visit | Refraction | Anterior Segment |
Fundus | Colour Vision | Visual Field | ffERG | SWAF | SD-OCT |
---|---|---|---|---|---|---|---|---|---|---|
IA-CIC08269, F | Night vision difficulties since 6 y.o. Bilateral decreased visual acuity |
RE: 20/50 LE: 20/50 7 y.o. |
+1.0(−1.5)10° +1.0(−1.5)175° |
Normal | Normal optic discs Mild vascular narrowing Dark fovea, yellowish deposit with indistinct borders surrounding the fovea Whitish spots of chorio-retinal atrophy and coarse pigmentary migration in peripheral retina |
Tritan defect | Kinetic perimetry: V4e: 145° horizontal and 120° vertical III1e: constricted to 5° I1e: not perceived OU |
Undetectable scotopic- and photopic responses | Very narrow ring of increased autofluorescence | Outer retinal layers (EZ, ONL) disappearance outside the fovea |
XZ-358338, M |
Progressive visual loss since teens, Photophobia from age 36 y.o. |
RE: 20/50 LE: 20/40 36 y.o. |
−12.5(−2.0)0° −12.0(−3.0)160° |
Phakic IOL implanted at 36 y.o. | Normal discs Peripapillary atrophy (conus myopicus) Mild arteriolar narrowing Dark round atrophic lesion of the macula with indistinct borders Normal peripheral retina |
Tritan defect | Static perimetry: Absolute central scotoma of 5° surrounded by a ring of reduced sensitivity OU |
Generalized cone-rod dysfunction (scotopic responses 70% of normal amplitude and photopic responses 25% of normal amplitude) | Salt and pepper round macular lesion with hyperautofluorescent edges Normal autofluorescence in the peripheral retina |
Dome-shaped macula Outer retinal layers (EZ, ONL) disappearance in the macula; normal aspect outside the macular lesion |
IM-4476, M |
Progressive visual acuity loss since childhood, Photophobia and rapid visual acuity loss since 42 y.o. | RE:20/100 LE: 20/50 46 y.o. |
−6.25(−3.0)170° −6.0(−3.50)35° |
Normal | Normal discs Chorioretinal thinning between the macula and optic disc Yellowish atrophic round macular lesion Normal peripheral retina |
Severe dyschromatopsia | V4e: 150° horizontal and 120° vertical II4e: 90° horizontal and 60° vertical I4e not perceived OU |
Severe generalized cone system dysfunction with normal rod system function | Round foveal hypoautofluorescent lesion with irregular hyperautofluorescent edges | Foveal disappearance of outer retinal layers (EZ, ONL) |
HD-2011304, M |
Night vision disturbances since his forties Photophobia and rapid visual acuity loss since 45 y.o. |
RE:20/63 LE:20/50 48 y.o. |
-6.75(−3.50)80° −9.50(−3.50)110° |
Normal | Normal disc Peripapillary atrophy (conus myopicus) Mild arteriolar narrowing Dark foveal spot surrounded by ovoid zone of macular discoloration Normal peripheral retina |
Tritan defect | V4e: 100° horizontal and 90° vertical V4e central scotoma of 15° |
Generalized cone-rod dysfunction (scotopic responses 50% of normal amplitude, photopic responses 30% of normal amplitude) | Foveal hyperautofluorescent spot surrounded by a round hypoautofluorescent area with hyperautofluorescent edges Macular lesion is continuous with the peripapillary atrophy |
Perifoveal disappearance of outer retinal layers (EZ, ONL) Foveal sparing of EZ |
EB-163150, M |
Progressive visual acuity loss from teens Photophobia since childhood, became disabling from thirties |
RE: 20/80 LE: 20/80 70 y.o. |
−6.0(−1.0)40° −7.0(−0.75)165° |
Cortico-nuclear and posterior subcapsular cataract OU | Normal disc Peripapillary atrophy (conus myopicus) Mild arteriolar narrowing Round macular discoloration |
Tritan defect | V4e: 140° horizontal and vertical V1e: central scotoma of 15° Humphrey 10-2: sparing of fixation point, absolute annular scotoma at 5° of eccentricity surrounded by a relative deficit |
Severe cone system dysfunction with only residual photopic responses while scotopic responses were normal | Perifoveal hyperautofluorescent ring with indistinct edges | Perifoveal disappearance of outer retinal layers (EZ, ONL) Foveal sparing of EZ |
BCVA—best corrected visual acuity, EZ—ellipsoid zone, ONL—outer nuclear layer, OU—both eyes, NA—Not applicable, SWAF—short wave fundus autofluorescence, SD-OCT—spectral domain optical coherence tomography, ffERG—full-field electroretinography.