Table 2.

Bestrophinopathies: Frequency of Phenotypes

PhenotypeOphthalmologic FindingsComment
Most CommonCommonInfrequent
BVMD"Egg yolk"-like vitelliform lesion
  • Multiple vitelliform lesions
  • Atrophic scar
  • Choroidal neovascularization
  • Unilateral vitelliform lesions
  • Vitelliform lesion progressing through stages of heterogeneous "scramble egg" to pseudohypopyon lesion to atrophic scar
  • Visual acuity can progress from 20/20 to <20/200.
AVMDBilateral, small, circular vitelliform lesionAtrophic scarChoroidal neovascularization
  • Lesions ↑ & then ↓ in size, becoming an atrophic area.
  • Visual acuity 20/40 to 20/200
ADVIRCPeripheral chorioretinal atrophy w/white retinal opacities
  • Hyperopia
  • Shallow anterior chamber/angle closure
  • Microcornea
  • Fibrillar vitreous condensation
Breakdown of blood-retinal barrier w/retinal neovascularization
ARB
  • White subretinal deposits
  • Subretinal fluid
  • Hyperopia
  • Subretinal fibrous scars
  • Shallow anterior chamber/angle closure
  • Glaucoma
  • Cystoid macular edema
Choroidal neovascularization
  • Subretinal deposits w/subretinal fluid in early stages progressing to subretinal fibrosis
  • Visual acuity can progress from 20/20 to <20/200.

From: Bestrophinopathies

Cover of GeneReviews®
GeneReviews® [Internet].
Adam MP, Feldman J, Mirzaa GM, et al., editors.
Seattle (WA): University of Washington, Seattle; 1993-2024.
Copyright © 1993-2024, University of Washington, Seattle. GeneReviews is a registered trademark of the University of Washington, Seattle. All rights reserved.

GeneReviews® chapters are owned by the University of Washington. Permission is hereby granted to reproduce, distribute, and translate copies of content materials for noncommercial research purposes only, provided that (i) credit for source (http://www.genereviews.org/) and copyright (© 1993-2024 University of Washington) are included with each copy; (ii) a link to the original material is provided whenever the material is published elsewhere on the Web; and (iii) reproducers, distributors, and/or translators comply with the GeneReviews® Copyright Notice and Usage Disclaimer. No further modifications are allowed. For clarity, excerpts of GeneReviews chapters for use in lab reports and clinic notes are a permitted use.

For more information, see the GeneReviews® Copyright Notice and Usage Disclaimer.

For questions regarding permissions or whether a specified use is allowed, contact: ude.wu@tssamda.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.