PMID- 22669287 OWN - NLM STAT- MEDLINE DCOM- 20121102 LR - 20211021 IS - 1573-2622 (Electronic) IS - 0012-4486 (Linking) VI - 125 IP - 1 DP - 2012 Aug TI - Multimodal fundus imaging in fundus albipunctatus with RDH5 mutation: a newly identified compound heterozygous mutation and review of the literature. PG - 51-62 LID - 10.1007/s10633-012-9336-z [doi] AB - The aim of this study was to describe multimodal retinal imaging of fundus albipunctatus (FA) with the newly identified compound heterozygous RDH5 mutation and to review the relevant literature. Five family members were examined, and the RDH5 gene was analyzed by direct sequencing. The clinical features and genetic study of FA are reviewed. The proband had a compound heterozygotic missense mutation of Cys59Ser (TGC --> AGC) and a nonsense mutation of Trp95ter (TGG --> TGA) in the RDH5 gene. Fundus examination revealed diffuse yellow flecks with foveal sparing. Infrared reflectance (IR) imaging showed multiple discrete round lesions, and fundus autofluorescence (FAF) imaging showed decreased autofluorescence. In spectral domain optical coherence tomography (SD-OCT), the lesions spanned across the retinal pigment epithelium complex and the photoreceptor inner segment ellipsoid band. The outer nuclear layer thickness is decreased compared to normal control. Electroretinography (ERG) showed improved dark-adapted responses after a prolonged 2.5-h dark adaptation. The fundi of the patient's son and daughter both appeared unremarkable. The clinical findings, differential diagnosis, and genetic studies of these features are reviewed. This is the first time that IR imaging of this disease has been reported; IR imaging showed more detail than did FAF imaging. Although retinal imaging (fundus photographs, FAF, IR, SD-OCT) of FA showed characteristic findings, ERG and genetic study remain the most reliable tests for making the diagnosis. FAU - Wang, Nan-Kai AU - Wang NK AD - Department of Ophthalmology, Chang Gung Memorial Hospital, Linkuo Medical Center, No. 5, Fu-Hsing Street, Kuei Shan, Taoyuan 333, Taiwan. wang.nankai@gmail.com FAU - Chuang, Lan-Hsin AU - Chuang LH FAU - Lai, Chi-Chun AU - Lai CC FAU - Chou, Chai Lin AU - Chou CL FAU - Chu, Hsueh-Yen AU - Chu HY FAU - Yeung, Ling AU - Yeung L FAU - Chen, Yen-Po AU - Chen YP FAU - Chen, Kuan-Jen AU - Chen KJ FAU - Wu, Wei-Chi AU - Wu WC FAU - Chen, Tun-Lu AU - Chen TL FAU - Chao, An-Ning AU - Chao AN FAU - Hwang, Yih-Shiou AU - Hwang YS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120606 PL - Netherlands TA - Doc Ophthalmol JT - Documenta ophthalmologica. Advances in ophthalmology JID - 0370667 RN - 0 (11-cis-retinal-binding protein) RN - 0 (Carrier Proteins) RN - EC 1.1.- (Alcohol Oxidoreductases) RN - EC 1.1.1.105 (retinol dehydrogenase 5) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Alcohol Oxidoreductases/*genetics MH - Amino Acid Sequence MH - Carrier Proteins/genetics MH - Child MH - DNA Mutational Analysis MH - Dark Adaptation/physiology MH - Electroretinography MH - Female MH - Heterozygote MH - Humans MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - *Mutation MH - Night Blindness/*diagnosis/*genetics/physiopathology MH - Ophthalmoscopy MH - Pedigree MH - Polymerase Chain Reaction MH - Retina/physiopathology MH - Retinal Degeneration/*diagnosis/*genetics/physiopathology MH - Tomography, Optical Coherence MH - Vision, Ocular EDAT- 2012/06/07 06:00 MHDA- 2012/11/03 06:00 CRDT- 2012/06/07 06:00 PHST- 2012/02/16 00:00 [received] PHST- 2012/05/21 00:00 [accepted] PHST- 2012/06/07 06:00 [entrez] PHST- 2012/06/07 06:00 [pubmed] PHST- 2012/11/03 06:00 [medline] AID - 10.1007/s10633-012-9336-z [doi] PST - ppublish SO - Doc Ophthalmol. 2012 Aug;125(1):51-62. doi: 10.1007/s10633-012-9336-z. Epub 2012 Jun 6.