PMID- 35816046 OWN - NLM STAT- MEDLINE DCOM- 20220713 LR - 20220721 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 63 IP - 8 DP - 2022 Jul 8 TI - Choroideremia Carriers: Dark-Adapted Perimetry and Retinal Structures. PG - 4 LID - 10.1167/iovs.63.8.4 [doi] LID - 4 AB - PURPOSE: In choroideremia (CHM) carriers, scotopic sensitivity was assessed by dark adapted chromatic perimetry (DACP) and outer retinal structure was evaluated by multimodal imaging. METHODS: Nine carriers (18 eyes) and 13 healthy controls (13 eyes) underwent DACP testing with cyan and red stimuli. Analysis addressed peripapillary (4 test locations closest to the optic disc), macular (52 locations), and peripheral (60 locations outside the macula) regions. Responses were considered to be rod-mediated when cyan relative to red sensitivity was >5 dB. Fundus imaging included spectral domain optical coherence tomography (SD-OCT), short-wavelength (SW-AF), near-infrared (NIR-AF), ultrawide-field (200 degrees) pseudocolor fundus imaging, and quantitative (qAF) fundus autofluorescence. RESULTS: Detection of the cyan stimulus was rod mediated in essentially all test locations (99.7%). In the macular and peripheral areas, DACP sensitivity values were not significantly different from healthy eyes. In the peripapillary area, sensitivities were significantly decreased (P < 0.05). SD-OCT imaging ranged from hyper-reflective lesions and discontinuities of the outer retinal bands to hypertransmission of signal. SW-AF and NIR-AF images presented with peripapillary atrophy in seven patients (14 eyes). Mosaicism was detectable in SW-AF images in seven patients and in NIR-AF images in five patients. Frank hypo-autofluorescence was visible in eight patients with distinct chorioretinopathy in seven patients. The qAF values were below the 95% confidence interval (CI) of healthy age-matched individuals in 12 eyes. CONCLUSIONS: Rod mediated scotopic sensitivity was comparable to that in control eyes in macular and peripheral areas but was decreased in the peripapillary area where changes in retinal structure were also most severe. FAU - Parmann, Rait AU - Parmann R AD - Departments of Ophthalmology, Columbia University, New York, NY, United States. FAU - Greenstein, Vivienne C AU - Greenstein VC AD - Departments of Ophthalmology, Columbia University, New York, NY, United States. FAU - Tsang, Stephen H AU - Tsang SH AD - Departments of Ophthalmology, Columbia University, New York, NY, United States. AD - Departments of Pathology and Cell Biology, Columbia University, New York, NY, United States. FAU - Sparrow, Janet R AU - Sparrow JR AD - Departments of Ophthalmology, Columbia University, New York, NY, United States. AD - Departments of Pathology and Cell Biology, Columbia University, New York, NY, United States. LA - eng GR - R01 EY024091/EY/NEI NIH HHS/United States GR - R01 EY018213/EY/NEI NIH HHS/United States GR - R01 EY009076/EY/NEI NIH HHS/United States GR - R01 EY024698/EY/NEI NIH HHS/United States GR - P30 EY019007/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 SB - IM MH - *Choroideremia/diagnosis/pathology MH - Fluorescein Angiography/methods MH - Fundus Oculi MH - Humans MH - Retina/diagnostic imaging/pathology MH - Tomography, Optical Coherence/methods MH - Visual Field Tests PMC - PMC9284471 COIS- Disclosure: R. Parmann, None; V.C. Greenstein, None; S.H. Tsang, Abeona Therapeutics, Inc. (F), Emendo Bio, Inc. (F), Rejuvitas (O), Nanoscope Therapeutics (S); J.R. Sparrow, None EDAT- 2022/07/12 06:00 MHDA- 2022/07/14 06:00 PMCR- 2022/07/11 CRDT- 2022/07/11 09:33 PHST- 2022/07/11 09:33 [entrez] PHST- 2022/07/12 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/07/11 00:00 [pmc-release] AID - 2783465 [pii] AID - IOVS-22-35082 [pii] AID - 10.1167/iovs.63.8.4 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2022 Jul 8;63(8):4. doi: 10.1167/iovs.63.8.4.