PMID- 22779427 OWN - NLM STAT- MEDLINE DCOM- 20130821 LR - 20130409 IS - 1744-5094 (Electronic) IS - 1381-6810 (Linking) VI - 34 IP - 1-2 DP - 2013 Mar-Jun TI - Correlation between visual acuity and OCT-measured retinal nerve fiber layer thickness in a family with ADOA and an OPA1 mutation. PG - 69-74 LID - 10.3109/13816810.2012.702259 [doi] AB - PURPOSE: To assess the association between retinal nerve fiber layer (RNFL) thickness and visual acuity in a family from Siracusa (Sicily) with autosomal dominant optic atrophy (ADOA) due to a heterozygous c.869G>A OPA1 mutation. METHODS: Affected family members underwent complete neuro-ophthalmological evaluation, including visual acuity testing, colour vision testing, tonometry, visual field testing, colour fundus photography, pattern visual-evoked potential (PVEP) testing, and pattern electroretinography (PERG). Patients and age-matched control subjects were scanned by spectral-domain optical coherence tomography (SD-OCT) to assess circumpapillary RNFL thickness. RESULTS: All patients showed the characteristic optic disc pallor and central scotomas in the visual field. PVEP testing and PERG also showed alterations consistent with ADOA. The average circumpapillary RNFL thickness was thinner in ADOA patients than in control subjects (60.87 +/- 6.58microm and 108.13 +/- 6.53microm, respectively; p = 0.0001). The visual acuity in patients with ADOA correlated significantly with the circumpapillary average RNFL thickness (r = -0.845, p = 0.008). CONCLUSIONS: OCT-measured peripapillary RNFL thickness is reduced in ADOA patients compared with healthy subjects and correlates significantly with visual acuity in patients with ADOA. The photoreceptor layers are morphologically unaffected. FAU - Russo, Andrea AU - Russo A AD - Eye Clinic, Department of Neurological Sciences and Vision, University of Brescia, Brescia, Italy. andrea@russoandrea.it FAU - Delcassi, Luisa AU - Delcassi L FAU - Marchina, Eleonora AU - Marchina E FAU - Semeraro, Francesco AU - Semeraro F LA - eng PT - Case Reports PT - Journal Article DEP - 20120711 PL - England TA - Ophthalmic Genet JT - Ophthalmic genetics JID - 9436057 RN - EC 3.6.1.- (GTP Phosphohydrolases) RN - EC 3.6.1.- (OPA1 protein, human) SB - IM MH - Adolescent MH - Aged MH - Color Perception MH - DNA Mutational Analysis MH - Evoked Potentials, Visual/physiology MH - Female MH - GTP Phosphohydrolases/*genetics MH - Humans MH - Middle Aged MH - *Mutation MH - Nerve Fibers/*pathology MH - Optic Atrophy, Autosomal Dominant/*diagnosis/genetics MH - Optic Disk/*pathology MH - Pedigree MH - Polymerase Chain Reaction MH - Retinal Ganglion Cells/*pathology MH - Scotoma/diagnosis MH - Tomography, Optical Coherence MH - Tonometry, Ocular MH - Visual Acuity/*physiology MH - Young Adult EDAT- 2012/07/12 06:00 MHDA- 2013/08/22 06:00 CRDT- 2012/07/12 06:00 PHST- 2012/07/12 06:00 [entrez] PHST- 2012/07/12 06:00 [pubmed] PHST- 2013/08/22 06:00 [medline] AID - 10.3109/13816810.2012.702259 [doi] PST - ppublish SO - Ophthalmic Genet. 2013 Mar-Jun;34(1-2):69-74. doi: 10.3109/13816810.2012.702259. Epub 2012 Jul 11.