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Case Reports
. 2020 Apr;41(2):198-200.
doi: 10.1080/13816810.2020.1737949. Epub 2020 Mar 16.

Quasidominance in autosomal recessive RDH12-Leber congenital amaurosis

Affiliations
Case Reports

Quasidominance in autosomal recessive RDH12-Leber congenital amaurosis

Ruben Jauregui et al. Ophthalmic Genet. 2020 Apr.
No abstract available

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Figures

Figure 1.
Figure 1.. Pedigree of the presented patients.
A 34-year old man (Patient 1, IV-2) visited our clinic with his 3-year old daughter (Patient 2, V-3). Clinical presentation of both patients was suggestive of a diagnosis of Leber Congenital Amaurosis caused by the gene RDH12. Family history was significant for multiple consanguineous marriages.
Figure 2.
Figure 2.. Clinical examination of the presented patients.
Color photography of the posterior pole of Patient 1 (A and B) revealed dense and widespread intraretinal pigment migration, a severely atrophic and demarcated macula with pigmentation and yellowing, optic disc pallor, attenuation of the retinal vessels, and generalized retinal atrophy (A). On short-wave fundus autofluorescence (SW-AF) images, generalized hypoautofluorescence was observed throughout the posterior pole, corresponding to atrophic retinal pigment epithelium (B). In Patient 2 (C and D) color photography revealed a severely atrophic and demarcated macula, along with mottling of the retinal pigment epithelium (RPE) throughout the posterior pole, optic disc pallor, and attenuation of the retinal vessels. Generalized retinal atrophy with preservation of the peripapillary area was also appreciated (C). SW-AF images also revealed a generalized loss of autofluorescence. The atrophic macula appeared as an area of dense hypoautofluorescence, with peripapillary sparing of the RPE evident as relative higher levels of autofluorescence surrounding the optic disc as compared to the rest of the fundus with generalized hypoautofluorescence (D).

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