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Case Reports
. 2024 Feb;148(1):65-71.
doi: 10.1007/s10633-023-09959-2. Epub 2024 Jan 3.

Genetic, morphological and electrophysiological findings in a patient with a rare pathogenic variant in the RS1 gene

Lorrana Souza Azevedo  1 , Márcio Augusto Moraes Alvarez  2 , Gabriel Izan Santos Botelho  3 , Alexandre Antônio Marques Rosa  1   3 , Givago Silva Souza  4   5
Affiliations
Case Reports

Genetic, morphological and electrophysiological findings in a patient with a rare pathogenic variant in the RS1 gene

Lorrana Souza Azevedo et al. Doc Ophthalmol. 2024 Feb.

Abstract

Purpose: In this study, we report a case of a young adult with X-linked juvenile retinoschisis (XLRS) with a rare pathogenic variant in the RS1 gene (c.522 + 2 T > A).

Methods: Ophthalmological evaluation, optical coherence tomography, full-field and multifocal electroretinograms and extensive genetic screening of genes related to visual loss were carried out in the participant.

Results: Clinical ophthalmological exams revealed a mild to moderate impairment of visual acuity. Retinal imaging showed bilateral foveal schisis, as well as normal a-wave, reduction in the b-wave amplitudes in dark- and light- adapted full-field electroretinograms, and abnormal oscillatory potentials. We found also diffuse amplitude reduction in multifocal electroretinogram arrays. A canonical splice variant was identified in the RS1 gene (c.522 + 2 T > A).

Conclusion: A rare pathogenic variant of the RS1 gene was associated with diffuse retinal involvement (central and peripheral retina), probably in inner retina, and mild to moderate visual acuity impairment. The phenotypical characterization of rare mutations is relevant to provide information about the disease.

Keywords: Genetic mutation; NeuroOphthalmology; Optical coherence tomography; Retinal electrophysiology; Retinoschisis.

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References

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