PMID- 23299470 OWN - NLM STAT- MEDLINE DCOM- 20130402 LR - 20220331 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 54 IP - 2 DP - 2013 Feb 1 TI - High-resolution images of retinal structure in patients with choroideremia. PG - 950-61 LID - 10.1167/iovs.12-10707 [doi] AB - PURPOSE: To study retinal structure in choroideremia patients and carriers using high-resolution imaging techniques. METHODS: Subjects from four families (six female carriers and five affected males) with choroideremia (CHM) were characterized with best-corrected visual acuity (BCVA), kinetic and static perimetry, full-field electroretinography, and fundus autofluorescence (FAF). High-resolution macular images were obtained with adaptive optics scanning laser ophthalmoscopy (AOSLO) and spectral domain optical coherence tomography (SD-OCT). Coding regions of the CHM gene were sequenced. RESULTS: Molecular analysis of the CHM gene identified a deletion of exons 9 to 15 in family A, a splice site mutation at position 79+1 of exon 1 in family B, deletion of exons 6 to 8 in family C, and a substitution at position 106 causing a premature stop in family D. BCVA ranged from 20/16 to 20/63 in carriers and from 20/25 to 5/63 in affected males. FAF showed abnormalities in all subjects. SD-OCT showed outer retinal layer loss, outer retinal tubulations at the margin of outer retinal loss, and inner retinal microcysts. Patchy cone loss was present in two symptomatic carriers. In two affected males, cone mosaics were disrupted with increased cone spacing near the fovea but more normal cone spacing near the edge of atrophy. CONCLUSIONS: High-resolution retinal images in CHM carriers and affected males demonstrated RPE and photoreceptor cell degeneration. As both RPE and photoreceptor cells were affected, these cell types may degenerate simultaneously in CHM. These findings provide insight into the effect of CHM mutations on macular retinal structure, with implications for the development of treatments for CHM. (ClinicalTrials.gov number, NCT00254605.). FAU - Syed, Reema AU - Syed R AD - Department of Ophthalmology, University of California, San Francisco, USA. FAU - Sundquist, Sanna M AU - Sundquist SM FAU - Ratnam, Kavitha AU - Ratnam K FAU - Zayit-Soudry, Shiri AU - Zayit-Soudry S FAU - Zhang, Yuhua AU - Zhang Y FAU - Crawford, J Brooks AU - Crawford JB FAU - MacDonald, Ian M AU - MacDonald IM FAU - Godara, Pooja AU - Godara P FAU - Rha, Jungtae AU - Rha J FAU - Carroll, Joseph AU - Carroll J FAU - Roorda, Austin AU - Roorda A FAU - Stepien, Kimberly E AU - Stepien KE FAU - Duncan, Jacque L AU - Duncan JL LA - eng SI - ClinicalTrials.gov/NCT00254605 GR - P30EY001931/EY/NEI NIH HHS/United States GR - UL1RR031973/RR/NCRR NIH HHS/United States GR - R01EY017607/EY/NEI NIH HHS/United States GR - C06RR016511/RR/NCRR NIH HHS/United States GR - EY002162/EY/NEI NIH HHS/United States GR - R01 EY017607/EY/NEI NIH HHS/United States GR - UL1 RR031973/RR/NCRR NIH HHS/United States GR - R01 EY014375/EY/NEI NIH HHS/United States GR - C06 RR016511/RR/NCRR NIH HHS/United States GR - P30 EY001931/EY/NEI NIH HHS/United States GR - R01EY014375/EY/NEI NIH HHS/United States GR - P30 EY002162/EY/NEI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130201 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (CHM protein, human) RN - 9007-49-2 (DNA) SB - IM MH - Adaptor Proteins, Signal Transducing/genetics/metabolism MH - Adolescent MH - Adult MH - Aged MH - Choroideremia/genetics/metabolism/*pathology MH - DNA/genetics MH - Female MH - Fluorescein Angiography/*methods MH - Fundus Oculi MH - Genetic Predisposition to Disease MH - Humans MH - Image Processing, Computer-Assisted/*methods MH - Male MH - Middle Aged MH - Mutation MH - Ophthalmoscopy/*methods MH - Pedigree MH - Phenotype MH - Polymerase Chain Reaction MH - Protein Prenylation MH - Retinal Cone Photoreceptor Cells/pathology MH - Tomography, Optical Coherence/*methods MH - Young Adult PMC - PMC3564452 COIS- Disclosure: R. Syed, None; S.M. Sundquist, None; K. Ratnam, None; S. Zayit-Soudry, None; Y. Zhang, None; J.B. Crawford, None; I.M. MacDonald, None; P. Godara, None; J. Rha, None; J. Carroll, None; A. Roorda, P; K.E. Stepien, None; J.L. Duncan, None EDAT- 2013/01/10 06:00 MHDA- 2013/04/03 06:00 PMCR- 2013/02/01 CRDT- 2013/01/10 06:00 PHST- 2013/01/10 06:00 [entrez] PHST- 2013/01/10 06:00 [pubmed] PHST- 2013/04/03 06:00 [medline] PHST- 2013/02/01 00:00 [pmc-release] AID - iovs.12-10707 [pii] AID - 10.1167/iovs.12-10707 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2013 Feb 1;54(2):950-61. doi: 10.1167/iovs.12-10707.