PMID- 26077580 OWN - NLM STAT- MEDLINE DCOM- 20151016 LR - 20150727 IS - 1549-4713 (Electronic) IS - 0161-6420 (Linking) VI - 122 IP - 8 DP - 2015 Aug TI - Reticular Pseudodrusen in Sorsby Fundus Dystrophy. PG - 1555-62 LID - S0161-6420(15)00418-2 [pii] LID - 10.1016/j.ophtha.2015.04.035 [doi] AB - PURPOSE: To investigate the association of reticular pseudodrusen (RPD) with Sorsby fundus dystrophy (SFD). DESIGN: Prospective, monocenter, cross-sectional case series. SUBJECTS: Sixteen patients of 4 unrelated families with SFD caused by mutations in TIMP3. METHODS: All subjects underwent multimodal imaging including near-infrared (NIR) reflectance and fundus autofluorescence with a confocal scanning laser ophthalmoscope and spectral-domain optical coherence tomography (SD OCT). MAIN OUTCOME MEASURES: Prevalence, topographic distribution, and phenotype of RPD. RESULTS: Mean age of the investigated patients was 56.8 years (range, 23-78 years). Reticular pseudodrusen were identified frequently in SFD patients in the sixth decade of life (5 of 7 [71%]) and were absent in younger (n = 3) or older (n = 6) patients. They were most abundant in the superior quadrant and spared the foveal region. Reticular pseudodrusen appeared as yellowish round to oval (dot subtype; n = 5) or confluent, wriggled (ribbon subtype; n = 3) lesions, sometimes forming irregular networks. Reticular pseudodrusen were hyporeflective on NIR reflectance and hypofluorescent on fundus autofluorescence imaging. They appeared as subretinal deposits on SD OCT imaging. Other lesions, such as peripheral pseudodrusen and soft drusen, were present less frequently. CONCLUSIONS: Reticular pseudodrusen are a frequent finding in patients with SFD. Although SFD patients with RPD are younger, distribution and phenotype of RPD are similar to those observed in patients with age-related macular degeneration. The association of RPD with SFD implicates a role of Bruch's membrane, the Bruch's membrane-retinal pigment epithelium interface, or both in the pathogenesis of RPD. CI - Copyright (c) 2015 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved. FAU - Gliem, Martin AU - Gliem M AD - Department of Ophthalmology, University Hospital of Bonn, Bonn, Germany. FAU - Muller, Philipp L AU - Muller PL AD - Department of Ophthalmology, University Hospital of Bonn, Bonn, Germany. FAU - Mangold, Elisabeth AU - Mangold E AD - Institute for Human Genetics, University of Bonn, Bonn, Germany. FAU - Bolz, Hanno J AU - Bolz HJ AD - Center for Human Genetics, Bioscientia, Ingelheim, Germany; Institute of Human Genetics, University Hospital of Cologne, Cologne, Germany. FAU - Stohr, Heidi AU - Stohr H AD - Institute for Human Genetics, University of Regensburg, Regensburg, Germany. FAU - Weber, Bernhard H F AU - Weber BH AD - Institute for Human Genetics, University of Regensburg, Regensburg, Germany. FAU - Holz, Frank G AU - Holz FG AD - Department of Ophthalmology, University Hospital of Bonn, Bonn, Germany. FAU - Charbel Issa, Peter AU - Charbel Issa P AD - Department of Ophthalmology, University Hospital of Bonn, Bonn, Germany. Electronic address: peter.issa@ukb.uni-bonn.de. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150612 PL - United States TA - Ophthalmology JT - Ophthalmology JID - 7802443 RN - 0 (TIMP3 protein, human) RN - 0 (Tissue Inhibitor of Metalloproteinase-3) RN - Coloboma of macula type B brachydactyly SB - IM MH - Adult MH - Aged MH - Brachydactyly/*complications/genetics MH - Bruch Membrane/*pathology MH - Coloboma/*complications/genetics MH - Cross-Sectional Studies MH - Female MH - Fluorescein Angiography MH - Humans MH - Male MH - Microscopy, Confocal MH - Middle Aged MH - Multimodal Imaging MH - Mutation MH - Ophthalmoscopy MH - Optical Imaging MH - Prevalence MH - Prospective Studies MH - Retinal Drusen/diagnosis/*etiology MH - Retinal Pigment Epithelium/*pathology MH - Tissue Inhibitor of Metalloproteinase-3/genetics MH - Tomography, Optical Coherence MH - Young Adult EDAT- 2015/06/17 06:00 MHDA- 2015/10/17 06:00 CRDT- 2015/06/17 06:00 PHST- 2015/01/22 00:00 [received] PHST- 2015/04/24 00:00 [revised] PHST- 2015/04/28 00:00 [accepted] PHST- 2015/06/17 06:00 [entrez] PHST- 2015/06/17 06:00 [pubmed] PHST- 2015/10/17 06:00 [medline] AID - S0161-6420(15)00418-2 [pii] AID - 10.1016/j.ophtha.2015.04.035 [doi] PST - ppublish SO - Ophthalmology. 2015 Aug;122(8):1555-62. doi: 10.1016/j.ophtha.2015.04.035. Epub 2015 Jun 12.