PMID- 29219953 OWN - NLM STAT- MEDLINE DCOM- 20181109 LR - 20190301 IS - 1476-5454 (Electronic) IS - 0950-222X (Print) IS - 0950-222X (Linking) VI - 32 IP - 3 DP - 2018 Mar TI - Specific retinal phenotype in early IQCB1-related disease. PG - 646-651 LID - 10.1038/eye.2017.283 [doi] AB - PurposeTo describe the ocular and systemic phenotype in IQCB1-related disease.MethodsFour cases (3 males, 1 female) with molecularly confirmed IQCB1-related disease underwent ophthalmological examination including best-corrected visual acuity (BCVA) measurement, fundus evaluation, electroretinography (ERG), and spectral-domain optical coherence tomography (SD-OCT). Systemic evaluation including abdominal ultrasound was performed in all cases.ResultsBCVA ranged from perception of light (Case-2; 1 year) to 20/125 (Case-1; 9 years). Fundus evaluation showed whitish or silvery reflex outside the vascular arcades in all cases; the reflex was circumferential, irregular and covered at-least 6 clock hours at younger ages (3 cases; 1-4 years). The reflex was less conspicuous with increasing age (Case-1 (9 years) and Case-4 (20 years)). The peripheral retinal SD-OCT scans showed evidence of extensive deposition at the level of retinal pigment epithelium with complete absence of overlying photoreceptor outer segments and myoid zone. The ERG was non-detectable in all cases. All cases harbored biallelic nonsense (p.R364*, p. R455*) or frameshifting (p.M370Yfs*49, p.C253Afs*9) mutations in IQCB1. Case-1 additionally had developmental delay, hemi-hyperplasia, toe syndactyly, and kidney cysts.ConclusionIQCB1-related syndromic or non-syndromic Leber congenital amaurosis (LCA) carries unique retinal characteristics which helps differentiate IQCB1-retinopathy from other genetic forms of LCA in childhood. FAU - Vincent, A AU - Vincent A AD - Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, ON, Canada. AD - Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada. AD - Program of Genetics and Genome Biology, The Hospital for Sick Children, Toronto, ON, Canada. FAU - AlAli, A AU - AlAli A AD - Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, ON, Canada. AD - Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada. FAU - MacDonald, H AU - MacDonald H AD - Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, ON, Canada. AD - Department of Molecular Genetics, University of Toronto, Toronto, ON, Canada. AD - Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada. FAU - VandenHoven, C AU - VandenHoven C AD - Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, ON, Canada. FAU - Heon, E AU - Heon E AD - Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, ON, Canada. AD - Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada. AD - Program of Genetics and Genome Biology, The Hospital for Sick Children, Toronto, ON, Canada. LA - eng PT - Case Reports PT - Journal Article DEP - 20171208 PL - England TA - Eye (Lond) JT - Eye (London, England) JID - 8703986 RN - 0 (Calmodulin-Binding Proteins) RN - 0 (IQCB1 protein, human) SB - IM MH - Calmodulin-Binding Proteins/*genetics MH - Child, Preschool MH - Electroretinography MH - Female MH - Fundus Oculi MH - Humans MH - Infant MH - Male MH - Mutation MH - Photoreceptor Cells, Vertebrate/pathology MH - *Retinal Diseases/genetics/pathology/physiopathology MH - Retinal Pigment Epithelium/pathology MH - Tomography, Optical Coherence/methods MH - Visual Acuity/physiology MH - Young Adult PMC - PMC5848295 COIS- The authors declare no conflict of interest. EDAT- 2017/12/09 06:00 MHDA- 2018/11/10 06:00 PMCR- 2019/03/01 CRDT- 2017/12/09 06:00 PHST- 2017/06/16 00:00 [received] PHST- 2017/10/21 00:00 [accepted] PHST- 2017/12/09 06:00 [pubmed] PHST- 2018/11/10 06:00 [medline] PHST- 2017/12/09 06:00 [entrez] PHST- 2019/03/01 00:00 [pmc-release] AID - eye2017283 [pii] AID - 10.1038/eye.2017.283 [doi] PST - ppublish SO - Eye (Lond). 2018 Mar;32(3):646-651. doi: 10.1038/eye.2017.283. Epub 2017 Dec 8.