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Chorioretinal degeneration

MedGen UID:
99273
Concept ID:
C0521683
Pathologic Function
SNOMED CT: Chorioretinal degeneration (247177004)
 
HPO: HP:0200065

Conditions with this feature

Choroideremia
MedGen UID:
944
Concept ID:
C0008525
Disease or Syndrome
Choroideremia (CHM) is characterized by progressive chorioretinal degeneration in affected males and milder signs in heterozygous (carrier) females. Typically, symptoms in affected males evolve from night blindness to peripheral visual field loss, with central vision preserved until late in life. Although carrier females are generally asymptomatic, signs of chorioretinal degeneration can be reliably observed with fundus autofluorescence imaging, and – after age 25 years – with careful fundus examination.
Retinitis pigmentosa 6
MedGen UID:
333305
Concept ID:
C1839368
Disease or Syndrome
A retinitis pigmentosa that has material basis in variation in the chromosome region Xp21.3-p21.2.
Ophthalmoplegia, external, and myopia
MedGen UID:
326916
Concept ID:
C1839577
Disease or Syndrome
Late-onset retinal degeneration
MedGen UID:
344198
Concept ID:
C1854065
Disease or Syndrome
Late-onset retinal degeneration (LORD) is an autosomal dominant disorder characterized by onset in the fifth to sixth decade with night blindness and punctate yellow-white deposits in the retinal fundus, progressing to severe central and peripheral degeneration, with choroidal neovascularization and chorioretinal atrophy (Hayward et al., 2003).
Retinitis pigmentosa 2
MedGen UID:
394544
Concept ID:
C2681923
Disease or Syndrome
Retinitis pigmentosa is characterized by constriction of the visual fields, night blindness, and fundus changes, including 'bone corpuscle' lumps of pigment. RP unassociated with other abnormalities is inherited most frequently (84%) as an autosomal recessive, next as an autosomal dominant (10%), and least frequently (6%) as an X-linked recessive in the white U.S. population (Boughman et al., 1980). For a general phenotypic description and a discussion of genetic heterogeneity of retinitis pigmentosa, see 268000.
Stickler syndrome, type 4
MedGen UID:
481571
Concept ID:
C3279941
Disease or Syndrome
Stickler syndrome is a connective tissue disorder that can include ocular findings of myopia, cataract, and retinal detachment; hearing loss that is both conductive and sensorineural; midfacial underdevelopment and cleft palate (either alone or as part of the Robin sequence); and mild spondyloepiphyseal dysplasia and/or precocious arthritis. Variable phenotypic expression of Stickler syndrome occurs both within and among families; interfamilial variability is in part explained by locus and allelic heterogeneity.
Choroideremia-deafness-obesity syndrome
MedGen UID:
763933
Concept ID:
C3551019
Disease or Syndrome
An X-linked retinal dystrophy characterized by choroideremia, causing in affected males progressive nyctalopia and eventual central blindness. Obesity, moderate intellectual disability and congenital mixed (sensorineural and conductive) deafness are also observed. Female carriers show typical retinal changes indicative of the choroideremia carrier state.
Microcornea-myopic chorioretinal atrophy
MedGen UID:
815897
Concept ID:
C3809567
Disease or Syndrome
Microcornea-myopic chorioretinal atrophy-telecanthus syndrome is rare, genetic, developmental defect of the eye disease characterized by childhood onset of mild to severe myopia with microcornea and chorioretinal atrophy, typically associated with telecanthus and posteriorly rotated ears. Other variable features include early-onset cataracts, ectopia lentis, ecotpia pupilae and retinal detachment.
Intellectual disability, autosomal dominant 33
MedGen UID:
899389
Concept ID:
C4225375
Mental or Behavioral Dysfunction
Any autosomal dominant non-syndromic intellectual disability in which the cause of the disease is a mutation in the DPP6 gene.

Professional guidelines

PubMed

Schepens CL
Ophthalmic Surg 1994 Jul;25(7):427-31. PMID: 7970511

Recent clinical studies

Etiology

Palmer E, Stepien KM, Campbell C, Barton S, Iosifidis C, Ghosh A, Broomfield A, Woodall A, Wilcox G, Sergouniotis PI, Black GC
Orphanet J Rare Dis 2023 Sep 4;18(1):265. doi: 10.1186/s13023-023-02840-0. PMID: 37667371Free PMC Article
Haug SJ, Wong RW, Day S, Choudhry N, Sneed S, Prasad P, Read S, McDonald RH, Agarwal A, Davis J, Sarraf D
Retina 2016 Dec;36 Suppl 1:S159-S167. doi: 10.1097/IAE.0000000000001267. PMID: 28005674
Rong SS, Chen LJ, Pang CP
Asia Pac J Ophthalmol (Phila) 2016 Jul-Aug;5(4):236-44. doi: 10.1097/APO.0000000000000224. PMID: 27488065
Atchaneeyasakul LO, Linck L, Weleber RG
Ophthalmic Genet 1998 Mar;19(1):39-48. doi: 10.1076/opge.19.1.39.2178. PMID: 9587928
Kennedy RH
Trans Am Ophthalmol Soc 1995;93:755-800. PMID: 8719698Free PMC Article

Diagnosis

Palmer E, Stepien KM, Campbell C, Barton S, Iosifidis C, Ghosh A, Broomfield A, Woodall A, Wilcox G, Sergouniotis PI, Black GC
Orphanet J Rare Dis 2023 Sep 4;18(1):265. doi: 10.1186/s13023-023-02840-0. PMID: 37667371Free PMC Article
Manangeeswaran M, Kielczewski JL, Sen HN, Xu BC, Ireland DDC, McWilliams IL, Chan CC, Caspi RR, Verthelyi D
Emerg Microbes Infect 2018 May 25;7(1):96. doi: 10.1038/s41426-018-0096-z. PMID: 29802245Free PMC Article
Kumar V, Trehan H, Goel N
JAMA Ophthalmol 2017 Oct 12;135(10):e173236. doi: 10.1001/jamaophthalmol.2017.3236. PMID: 29049677
Khan AO
Curr Opin Ophthalmol 2013 Sep;24(5):369-78. doi: 10.1097/ICU.0b013e3283638374. PMID: 23846189
MacDonald IM, Sereda C, McTaggart K, Mah D
Expert Rev Mol Diagn 2004 Jul;4(4):478-84. doi: 10.1586/14737159.4.4.478. PMID: 15225095

Therapy

Haug SJ, Wong RW, Day S, Choudhry N, Sneed S, Prasad P, Read S, McDonald RH, Agarwal A, Davis J, Sarraf D
Retina 2016 Dec;36 Suppl 1:S159-S167. doi: 10.1097/IAE.0000000000001267. PMID: 28005674
Triantafylla M, Panos GD, Dardabounis D, Nanos P, Konstantinidis A
Eur J Ophthalmol 2016 Feb 15;26(2):e30-1. doi: 10.5301/ejo.5000695. PMID: 26541114
Chee SP, Jap A, Bacsal K
Am J Ophthalmol 2009 Jan;147(1):154-161.e1. Epub 2008 Oct 2 doi: 10.1016/j.ajo.2008.07.044. PMID: 18834575
Kennedy RH
Trans Am Ophthalmol Soc 1995;93:755-800. PMID: 8719698Free PMC Article
Vannas-Sulonen K, Sipilä I, Vannas A, Simell O, Rapola J
Ophthalmology 1985 Dec;92(12):1719-27. doi: 10.1016/s0161-6420(85)34098-8. PMID: 4088625

Prognosis

Lisbjerg K, Andersen MKG, Bertelsen M, Brost AG, Buchvald FF, Jensen RB, Bisgaard AM, Rosenberg T, Tümer Z, Kessel L
Ophthalmic Genet 2021 Aug;42(4):464-473. Epub 2021 Apr 5 doi: 10.1080/13816810.2021.1904419. PMID: 33818269
Al-Qahtani AA, Ba-Ali S, Alabduljalil T, Coyner AS, Patel RC, Weleber RG, Girach A, Christensen SK, Larsen M, Pennesi ME, Yang P
Retina 2018 Sep;38(9):1725-1730. doi: 10.1097/IAE.0000000000001957. PMID: 29160785Free PMC Article
Ikesugi K, Ichio T, Tsukitome H, Kondo M
Jpn J Ophthalmol 2017 Jul;61(4):293-298. Epub 2017 Apr 26 doi: 10.1007/s10384-017-0517-x. PMID: 28447270
Nikopoulos K, Schrauwen I, Simon M, Collin RW, Veckeneer M, Keymolen K, Van Camp G, Cremers FP, van den Born LI
Invest Ophthalmol Vis Sci 2011 Jul 1;52(7):4774-9. doi: 10.1167/iovs.10-7128. PMID: 21421862
Kennedy RH
Trans Am Ophthalmol Soc 1995;93:755-800. PMID: 8719698Free PMC Article

Clinical prediction guides

Yang J, Xiao X, Li S, Mai G, Jia X, Wang P, Sun W, Zhang Q
Am J Ophthalmol 2022 Mar;235:178-187. Epub 2021 Sep 25 doi: 10.1016/j.ajo.2021.09.017. PMID: 34582765
Sen S, Kannan SK, Shanmugam U, Rajan R, Babu N, Vanniarajan A
Ophthalmic Genet 2021 Jun;42(3):300-303. Epub 2021 Jan 19 doi: 10.1080/13816810.2020.1870149. PMID: 33463379
Al-Qahtani AA, Ba-Ali S, Alabduljalil T, Coyner AS, Patel RC, Weleber RG, Girach A, Christensen SK, Larsen M, Pennesi ME, Yang P
Retina 2018 Sep;38(9):1725-1730. doi: 10.1097/IAE.0000000000001957. PMID: 29160785Free PMC Article
Haug SJ, Wong RW, Day S, Choudhry N, Sneed S, Prasad P, Read S, McDonald RH, Agarwal A, Davis J, Sarraf D
Retina 2016 Dec;36 Suppl 1:S159-S167. doi: 10.1097/IAE.0000000000001267. PMID: 28005674
Nikopoulos K, Schrauwen I, Simon M, Collin RW, Veckeneer M, Keymolen K, Van Camp G, Cremers FP, van den Born LI
Invest Ophthalmol Vis Sci 2011 Jul 1;52(7):4774-9. doi: 10.1167/iovs.10-7128. PMID: 21421862

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