PMID- 23788369 OWN - NLM STAT- MEDLINE DCOM- 20130909 LR - 20130715 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 54 IP - 7 DP - 2013 Jul 12 TI - Clinical characteristics of rod and cone photoreceptor dystrophies in patients with mutations in the C8orf37 gene. PG - 4683-90 LID - 10.1167/iovs.12-11439 [doi] AB - PURPOSE: To provide the clinical features in patients with retinal disease caused by C8orf37 gene mutations. METHODS: Eight patients--four diagnosed with retinitis pigmentosa (RP) and four with cone-rod dystrophy (CRD), carrying causal C8orf37 mutations--were clinically evaluated, including extensive medical history taking, slit-lamp biomicroscopy, ophthalmoscopy, kinetic perimetry, electroretinography (ERG), spectral-domain optical coherence tomography (SD-OCT), autofluorescence (AF) imaging, and fundus photography. RESULTS: In families A and D, respectively, one and three patients showed a classic RP phenotype with night blindness followed by concentric loss of visual field. Severe visual loss to light perception occurred early in the course of the disease. The symptoms initiated during infancy (family A) or adolescence (family D). Ophthalmoscopy revealed macular atrophy, bone spicules, attenuated vessels, and waxy pale optic discs. SD-OCT showed profound photoreceptor degeneration and AF demonstrated atrophy of the retinal pigment epithelium (RPE). ERG responses were nonrecordable in these patients. In families B and C, the patients were diagnosed with CRD. Initial symptoms were photophobia or loss of visual acuity and occurred during infancy (family B) or adolescence (family C). Ophthalmoscopy and AF revealed profound macular RPE atrophy and SD-OCT demonstrated macular photoreceptor degeneration. ERG responses were severely reduced in a cone-rod pattern or were nonrecordable. Interestingly, both patients in family B demonstrated polydactyly. CONCLUSIONS: Mutations in C8orf37 give rise to an early or adolescent-onset autosomal recessive CRD or RP phenotype with early macular atrophy. The occurrence of postaxial polydactyly in one family suggests a syndromic phenotype, which may indicate C8orf37 has a ciliary function. FAU - van Huet, Ramon A C AU - van Huet RA AD - Department of Ophthalmology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. FAU - Estrada-Cuzcano, Alejandro AU - Estrada-Cuzcano A FAU - Banin, Eyal AU - Banin E FAU - Rotenstreich, Ygal AU - Rotenstreich Y FAU - Hipp, Stephanie AU - Hipp S FAU - Kohl, Susanne AU - Kohl S FAU - Hoyng, Carel B AU - Hoyng CB FAU - den Hollander, Anneke I AU - den Hollander AI FAU - Collin, Rob W J AU - Collin RW FAU - Klevering, B Jeroen AU - Klevering BJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130712 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (C8orf37 protein, human) RN - 0 (Proteins) SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Electroretinography MH - Female MH - Humans MH - Infant MH - Male MH - *Mutation MH - Phenotype MH - Proteins/*genetics MH - Retinitis Pigmentosa/*genetics/pathology/physiopathology MH - Visual Acuity/physiology MH - Visual Fields/physiology MH - Young Adult OTO - NOTNLM OT - C8orf37 OT - clinical characteristics OT - cone-rod dystrophy OT - retinitis pigmentosa EDAT- 2013/06/22 06:00 MHDA- 2013/09/10 06:00 CRDT- 2013/06/22 06:00 PHST- 2013/06/22 06:00 [entrez] PHST- 2013/06/22 06:00 [pubmed] PHST- 2013/09/10 06:00 [medline] AID - iovs.12-11439 [pii] AID - 10.1167/iovs.12-11439 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2013 Jul 12;54(7):4683-90. doi: 10.1167/iovs.12-11439.