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Erschienen in: Documenta Ophthalmologica 2/2018

06.02.2018 | Clinical Case Report

Phenotypic expansion and progression of SPATA7-associated retinitis pigmentosa

verfasst von: Jesse D. Sengillo, Winston Lee, Colleen G. Bilancia, Vaidehi Jobanputra, Stephen H. Tsang

Erschienen in: Documenta Ophthalmologica | Ausgabe 2/2018

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Abstract

Purpose

To report an unusual phenotype of retinitis pigmentosa (RP) caused by compound heterozygous mutations in SPATA7, and describe the progression over a two year follow-up period.

Methods

Retrospective case study.

Results

A 63-year-old man with a long history of nyctalopia, progressive visual field constriction, and a recent subacute decrease in visual acuity of the left eye presented for evaluation of a suspected retinal degeneration. Multimodal retinal imaging and functional assessment with full-field electroretinogram suggested a severe rod-cone dysfunction masquerading as a choroideremia-like phenotype. A vitreous opacity was found to explain recent changes in the left eye and a 25-guage vitrectomy and membrane peel was performed, yielding no change in visual acuity. Whole-exome sequencing revealed compound heterozygous variants in SPATA7 that were predicted to be pathogenic.

Conclusions

Compound heterozygous c.1100A > G, p.(Y367C) and c.1102_1103delCT, p.(L368Efs*4) variants in SPATA7 manifest as an unusual RP phenotype in this case, showing extensive choroidal sclerosis and retinal pigment epithelium (RPE) atrophy with evidence of progression over two years on multimodal imaging.
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Metadaten
Titel
Phenotypic expansion and progression of SPATA7-associated retinitis pigmentosa
verfasst von
Jesse D. Sengillo
Winston Lee
Colleen G. Bilancia
Vaidehi Jobanputra
Stephen H. Tsang
Publikationsdatum
06.02.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Documenta Ophthalmologica / Ausgabe 2/2018
Print ISSN: 0012-4486
Elektronische ISSN: 1573-2622
DOI
https://doi.org/10.1007/s10633-018-9626-1

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