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Table 1 IRD patient characteristics

From: A pilot investigation of audiovisual processing and multisensory integration in patients with inherited retinal dystrophies

 

Age/Gender

Visual acuity

GVF sizea

Flash ERGb

SD-OCT EZ/ONLc

Clinical diagnosis

Molecular diagnosis

PT1

50/M

20/200 OD, 20/125 OS

7 degs OU*

No rod or mixed measurable responses; only residual mixed ERGs recordable

Markedly generalized ONL/EZ drop-out with modest central residue

RP, autosomal dominant

PRPF31 C299R, heterozygous, known disease causing mutation

PT2

77/M

20/20 OU

10 degs OU

No rod or mixed measurable responses; only small flicker ERG recordable

Markedly generalized ONL/EZ drop-out with excellent central residue

RP, autosomal dominant

RHO P23H, heterozygous, known disease causing mutation

PT3

23/M

20/40 OU

Incomplete ring scotomas OU

Residual rod ERG; moderately reduced and electronegative mixed and cone ERGs

Mild generalized ONL thinning and ill-defined EZ across the whole scan

BBS, autosomal recessive

BBS1 M390R, homozygous, known disease causing mutation

PT4

18/M

20/100 OD; 20/63 OS

Complete ring scotoma OUd

Non-recordable rod ERG; markedly reduced and electronegative mixed and cone ERGs

Mild generalized ONL thinning and ill-defined EZ across the whole scan

BBS, autosomal recessive

BBS1 M390R, homozygous, known disease causing mutation

PT5

70/M

20/200 OU

Full OU, ill-defined central relative scotomas OU (no stimulus detection of targets I3e or smaller)

Delayed and mildly reduced rod and mixed responses, virtually non-recordable cone responses OU

Severe focal ONL/EZ loss centrally (partial sparing fovea/perifovea only)

CORD, simplex

Inconclusive, (RPGRIP1L G1105R), variant of uncertain significance (possibly pathogenic)

PT6

42/F

20/250 OU

Full OU, ~22-deg. size central relative scotomas to I4e target and ~15-deg. size central relative scotomas to III4e target OU (small foveal detection area in OS)

Normal rod responses; mildly reduced mixed a-waves; moderately reduced cone responses (flicker > transient) OU

Severe focal ONL/EZ loss centrally (partial sparing fovea/perifovea only, OS > OD) and underlying marked central RPE drop-out

CORD, simplexe

Testing in progress (via EyeGENE)

  1. aGVF = Goldmann visual field, expressed as radius around fixation to a V4e target, in degrees (degs); when present (asterisk), thin far peripheral islands remote from central fields are not included in this calculation; b ERG = Electroretinogram; c SD-OCT = Spectral domain optical coherence tomography; EZ/ONL = ellipsoid zone/outer nuclear layer characteristics; RPE = retinal pigment epithelium
  2. dField of PT4 expanded greatly and reached its full size only after prolonged light adaptation, consistent with markedly delayed light adaptation as would be expected in a ciliopathy like BBS
  3. eThe diagnosis of CORD in PT6 is based not on ERG results, but on monochromatic automated perimetry evidence of markedly elevated/non-measurable rod-mediated thresholds (dark-adapted 500 nm stimuli) within the central 30 degs of visual field