Presentation
Affected individuals present from middle age with either normal or slightly diminished best-corrected visual acuity (BCVA) and color vision and the activity of the RPE measured by electrooculogram (EOG) recordings may be abnormal4-6. [arcillaresearch.com]
The programs included presentations by both basic and clinical researchers with ample time for informal discussions in a relaxed atmos phere. [books.google.com]
The pigmentary retinopathy occurs at the level of the RPE with the typical appearance of pigment but sometimes an accumulation of white or yellowish deposits is present. [disorders.eyes.arizona.edu]
Inheritance - congenital achromatopsia is transmitted in an autosomal-recessive trait Presentation - patients present in early childhood with nystagmus, abnormal visual behaviour or photophobia. Acuity is less than 20/200. [patient.info]
Nov, 2015 Presented by Ananda Kalevar, MD A 60 year-old woman presents with decreased vision in the left eye. A B Figures 1A-B: Color fundus photographs of the right (A and C) and left (B and D) eyes. [westcoastretina.com]
Entire Body System
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Physician
Quickly reference information with help from a convenient outline format, ideal for today’s busy physician. [books.google.com]
This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment. [diseaseinfosearch.org]
Retinal Physician. 01 May 2010:9 May. 2013. www.retinalphysician.com/printarticle.aspx?articleID 104279. 12. Hsieh RC, Fine BS, Lyons JS. Pattern dystrophy of the retinal pigment epithelium. Archives of Ophthalmology.1977;95(3):429-35. 13. [reviewofoptometry.com]
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Surgical Procedure
View videos of surgical procedures and access the complete contents of Retina, 5th Edition online at www.expertconsult.com, fully searchable, with regular updates and a downloadable image gallery. [books.google.com]
Retinal Perforations, Breaks Surgical Procedures and Postoperative Cases Toxic Retinopathies; see also Light Toxicitiy Trauma (Injury) Tumors, Neoplasma Vascular Diseases (see also: Systemic Immunologic Diseases) Sclera Strabismus, Ocular Motility Disorders [atlasophthalmology.net]
Eyes
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Retinal Pigmentation
Watzke RC, Folk JC, Lang RM (1982) Pattern dystrophy of the retinal pigment epithelium. Ophthalmology 89: 1400–1406 Google Scholar 28. [link.springer.com]
1 Mutations in CTNNA1 cause butterfly-shaped pigment dystrophy and perturbed retinal pigment epithelium integrity. ( 26691986 ) 2016 2 Butterfly-shaped pattern dystrophy in myotonic dystrophy. ( 22892517 ) Makino S....Tampo H. 2012 3 Genetic heterogeneity [malacards.org]
Mutations in CTNNA1 cause butterfly-shaped pigment dystrophy and perturbed retinal pigment epithelium integrity. Nat Genet. 2016 Feb;48(2):144-51. [disorders.eyes.arizona.edu]
Subsequently the putative involvement of the ROM-1 gene, 4 genes expressed in cone photoreceptors, all known non-syndromic macular, retinal pigment epithelium and choroidal dystrophy loci, all known Leber congenital amaurosis loci and all known non-syndromic [ncbi.nlm.nih.gov]
Among CTNNA1’s roles is building and maintaining the retinal pigment epithelium (RPE). [jax.org]
Skin
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Macula
This 44-year-old patient showed a distinctive bilateral pigmentary lesion of the macula which led to the tentative diagnosis, butterfly-shaped pigment dystrophy of the fovea. [ncbi.nlm.nih.gov]
Macular Dystrophy, Patterned 1 Clinical Characteristics Ocular Features: Patterned dystrophies of the macula are clinically heterogeneous. It is common for different patterns to be seen among multiple members of a single family. [disorders.eyes.arizona.edu]
[…] angiogram, angiogram good, concept pigment, pigmentation degeneration, deterioration area, math-related concept, spatial butterfly, neoptera, endopterygota, lepidoptera pattern, properties color, properties patient, medicine condition dark, quality macula [medicalimages.com]
The disease is characterized by accumulation of pigmented material in the macula that can resemble the wings of a butterfly3. [arcillaresearch.com]
Psychiatrical
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Suggestibility
Morphological studies in tvrm5 mice demonstrated increased cell shedding and the presence of large multinucleated RPE cells, suggesting defects in intercellular adhesion and cytokinesis. [ncbi.nlm.nih.gov]
Several mutations in separate genes have been linked to these disorders suggesting that this group is genetically as well as clinically heterogeneous. [disorders.eyes.arizona.edu]
The findings suggest a role for CTNNA1 in macular degenerative diseases. CTNNA1 encodes the protein CTNNA1, an alpha-catenin, which is part of the cellular machinery that glues cells to one another. [jax.org]
The mutation segregates with the disease phenotype (Z max 4, Θ 0) strongly suggesting that it causes the macular disease in this family. [nature.com]
Neurologic
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Responsiveness Decreasing
However, this is a generalized retinal disorder as revealed by the abnormal mass response (decreased light/dark ratio) of the electrooculogram (EOG). [disorders.eyes.arizona.edu]
Workup
[More] Chapter This chapter describes workup of a case of pterygium. Any patient presenting with pterygium should be worked up thoroughly before being planned for surgical excision. [jaypeedigital.com]
[…] symmetrical findings and shows as scattered, yellow, triradiate, fleck-like lesions in the posterior pole and arcades in the fundus. 3,5,11 The following report will discuss a case of multifocal pattern dystrophy, the differentials to consider, additional workup [reviewofoptometry.com]
Treatment
Because of the bilateral subfoveal localization no laser treatment was advised. Usually, good visual acuity is maintained in this uncommon inherited macular disease. However, acute visual loss can be caused by the ingrowth of subretinal new vessels. [ncbi.nlm.nih.gov]
Treatment Treatment Options: No treatment is available for the macular disease but low vision aids should be considered for appropriate individuals. [disorders.eyes.arizona.edu]
Put the very latest scientific and genetic discoveries, diagnostic imaging methods, drug therapies, treatment recommendations, and surgical techniques to work in your practice. [books.google.com]
Prognosis
[…] anatomy, image, images, inherited, insect, insecta, invertebrate, isan, life science, medical device, medical equipment, medical imaging, medical science, medical test, medicine, ophthalmoscope, organism, person, physics, pigment, positive, procedure, prognosis [medicalimages.com]
Prognosis - there is no progression. [patient.info]
These entities typically occur in midlife and carry a good visual prognosis in at least one eye. [reviewofophthalmology.com]
This delineation is key because of the better visual prognosis associated with multifocal pattern dystrophy. A better prognosis is also found with multifocal pattern dystrophy when compared with basal laminar drusen. [reviewofoptometry.com]
The prognosis for pattern dystrophies is good, with patients maintaining reading-level vision in at least one eye throughout the remainder of their life. 3 This patient has not yet returned to the clinic. OM References available upon request. [optometricmanagement.com]
Etiology
They are characterized predominantly by changes in the posterior pole of genetic etiology, and are often bilateral and symmetrical. [atlasrleye.com]
Clinical course, genetic etiology and visual outcome in cone and cone-rod dystrophy. Ophthalmology. 2012;119(4):819-826. Zhang K, Nguyen T H, Crandall A, et al. Genetic and molecular studies of macular dystrophies; recent developments. [healio.com]
Both are characterized by irregular-shaped, triradiate, yellow, fleck-like lesions of variable size and shape within the posterior pole and concentrate around the retinal vascular arcades. 3,18 While the two conditions are quite similar in terms of etiology [reviewofoptometry.com]
Etiology The PRPH2 gene (also known as RDS) provides instructions for making a protein called peripherin 2. This encoded protein is a cell surface glycoprotein found in the outer segment of both rod and cone photoreceptor cells. [eyewiki.aao.org]
Epidemiology
This phenotype also shares with AMD several epidemiological, clinical, and histopathological features. [reviewofophthalmology.com]
Relevant External Links for PRPH2 Genetic Association Database (GAD) PRPH2 Human Genome Epidemiology (HuGE) Navigator PRPH2 Atlas of Genetics and Cytogenetics in Oncology and Haematology: PRPH2 No data available for Genatlas for PRPH2 Gene Phenotypic [genecards.org]
Pathophysiology
Comprehensively updated to reflect everything you need to know regarding retinal diagnosis, treatment, development, structure, function, and pathophysiology, this monumental ophthalmology reference work equips you with expert answers to virtually any [books.google.com]
Nicholson B, Noble J, Forooghian F, Meyerle C (2013) Central serous chorioretinopathy: update on pathophysiology and treatment. SurvOphthalmol 58: 103-126. [omicsonline.org]
Novel diagnostic tools such as fundus autofluorescence imaging have led to an increasing understanding of pathophysiologic mechanisms in retinal degeneration. [reviewofophthalmology.com]
[…] the pathophysiology of the various pattern dystrophies. [eyewiki.aao.org]
Ongoing genetic research continues to change the understanding of pathophysiology. Stargardt's disease and fundus flavimaculatus [ 3 ] There has been some question as to whether this condition is two diseases or one. [patient.info]
Prevention
Like other forms of conjunctival autografting, the objective is to prevent abnormal conjunctiva and fibrovascular tissue from encroaching on the cornea and result... [jaypeedigital.com]
At present, there are no treatment modalities to prevent disease progression. [atlasrleye.com]
Next, this gene will be identified and its function in the retina determined as the first step in developing means of treatment and prevention. [retinaaustraliansw.com.au]
It also holds the promise of enabling clinicians to provide better risk assessments and develop and selectively deploy new therapeutics to either prevent or slow the disease and reduce the threat of vision loss. [healio.com]