PMID- 34115091 OWN - NLM STAT- MEDLINE DCOM- 20211006 LR - 20211006 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 62 IP - 7 DP - 2021 Jun 1 TI - Shared Features in Retinal Disorders With Involvement of Retinal Pigment Epithelium. PG - 15 LID - 10.1167/iovs.62.7.15 [doi] LID - 15 AB - When using spectral domain optical coherence tomography (SD-OCT) to inform the status of outer retina, we have noted discrete hyperreflective lesions extending through photoreceptor-attributable bands that have a similar presentation in multiple retinal diseases. These lesions present as either corrugated thickenings of interdigitation zone and ellipsoid zone bands or in later stages as rectangular or pyramidal shaped foci that extend radially through photoreceptor cell-attributable bands. In ABCA4-related and peripherin-2/RDS-disease (PRPH2/RDS), monogenic forms of retinopathy caused by mutations in proteins expressed in photoreceptor cells, these punctate lesions colocalize with fundus flecks in en face images. In fundus albipunctatus and retinitis punctata albescens, diseases caused by mutations in genes (retinol dehydrogenase 5, RDH5; and retinaldehyde-binding protein 1, RLBP1) encoding proteins of the visual cycle, these lesions manifest as white dot-like puncta. Similar aberrations in photoreceptor cell-attributable SD-OCT reflectivity layers manifest as reticular pseudodrusen (RPD) in short-wavelength fundus autofluorescence and near-infrared fundus autofluorescence fundus images and are linked to age-related macular degeneration a complex disease. Despite differences in the etiologies of retinal diseases presenting as fundus flecks, dots and RPD, underlying degenerative processes in photoreceptor cells are signified in SD-OCT scans by the loss of structural features that would otherwise define healthy photoreceptor cells at these foci. FAU - Sparrow, Janet R AU - Sparrow JR AD - Department of Ophthalmology, Harkness Eye Institute, Columbia University, New York, New York, United States. AD - Department of Pathology and Cell Biology, Columbia University Medical Center, New York, New York, United States. FAU - Parmann, Rait AU - Parmann R AD - Department of Ophthalmology, Harkness Eye Institute, Columbia University, New York, New York, United States. FAU - Tsang, Stephen H AU - Tsang SH AD - Department of Ophthalmology, Harkness Eye Institute, Columbia University, New York, New York, United States. AD - Department of Pathology and Cell Biology, Columbia University Medical Center, New York, New York, United States. FAU - Allikmets, Rando AU - Allikmets R AD - Department of Ophthalmology, Harkness Eye Institute, Columbia University, New York, New York, United States. AD - Department of Pathology and Cell Biology, Columbia University Medical Center, New York, New York, United States. FAU - Chang, Stanley AU - Chang S AD - Department of Ophthalmology, Harkness Eye Institute, Columbia University, New York, New York, United States. FAU - Jauregui, Ruben AU - Jauregui R AD - Department of Ophthalmology, Harkness Eye Institute, Columbia University, New York, New York, United States. LA - eng GR - P30 EY019007/EY/NEI NIH HHS/United States GR - R01 EY024091/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (11-cis-retinal-binding protein) RN - 0 (ABCA4 protein, human) RN - 0 (ATP-Binding Cassette Transporters) RN - 0 (Carrier Proteins) RN - EC 1.1.- (Alcohol Oxidoreductases) RN - EC 1.1.1.105 (retinol dehydrogenase 5) SB - IM MH - ATP-Binding Cassette Transporters/*genetics MH - Adolescent MH - Alcohol Oxidoreductases/*genetics MH - Carrier Proteins/*genetics MH - Correlation of Data MH - Diagnosis, Differential MH - Disease Progression MH - Female MH - Fundus Oculi MH - Humans MH - Male MH - Mutation MH - Optical Imaging/*methods MH - *Retinal Diseases/diagnostic imaging/genetics/physiopathology MH - Retinal Drusen/pathology/physiopathology MH - *Retinal Pigment Epithelium/pathology/physiopathology MH - Tomography, Optical Coherence/methods PMC - PMC8196415 COIS- Disclosure: J.R. Sparrow, None; R. Parmann, None; S.H. Tsang, None; R. Allikmets, None; S. Chang, None; R. Jauregui, None EDAT- 2021/06/12 06:00 MHDA- 2021/10/07 06:00 PMCR- 2021/06/11 CRDT- 2021/06/11 12:18 PHST- 2021/06/11 12:18 [entrez] PHST- 2021/06/12 06:00 [pubmed] PHST- 2021/10/07 06:00 [medline] PHST- 2021/06/11 00:00 [pmc-release] AID - 2772696 [pii] AID - IOVS-21-32658 [pii] AID - 10.1167/iovs.62.7.15 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2021 Jun 1;62(7):15. doi: 10.1167/iovs.62.7.15.