Table 2 Summary of the clinical data of 26 families with gene-associated retinal dystrophies.

From: Genetic spectrum of retinal dystrophies in Tunisia

Family

Patient

Gender

Age

years

Age of onseta

Visual acuity

OD OS

Ophthalmoscopy

Optical coherence tomography

Full-Field ERG (ODS)

Diagnosis

Gene

F1

IV.7

M

30

Birth

LP LP

Vessel attenuation RPE mottling and spicule deposits from the mid-retina to the periphery

Macula seems preserved

 

Extinct response

LCA

RPGRIP1

F2

II.2

M

4

Birth

LP LP

Normal fundus appearance

 

Extinct response

LCA

GUCY2D

F3

III.1

F

39

Birth

LP LP

Vessel attenuation RPE mottling and spicule deposits from the mid-retina to the periphery

  

LCA

RPE65

F4

III.1

F

8

Birth

1/20 RE/LE

Normal fundus appearance

Normal

Extinct response

LCA

IQCB1

III.2

M

1

Birth

NM

Normal fundus appearance

  

F5

II.1

F

8

Birth

LP + RE

LP—LE

RE: preserved para-arteriolar RPE, Peripheral nummular pigment clumping and atrophy

LE: Coats-like exudative

Vasculopathy

 

Extinct response

LCA

CRB1

F6

II.1

M

48

10

HM

Cone-rod dystrophy with yellowich macular deposits

Mid-peripheral nummular pigment clumping and atrophy

Macular atrophy

 

CRD

CRB1

F7

II.1

M

14

6

1/20

Cone-rod dystrophy with yellowich macular deposits nummular pigment clumping and atrophy

Macular disorganization and cysts

 

CRD

CRB1

F8

III.1

F

32

12

LP LP

Few bone spicule shaped deposits in the mid periphery along with atrophy of the periphery

retina,

Early macular atrophy

RE: macular hole

LE: macular atrophy

Altered photopic and scotopic responses

CRD

CDHR1

III.3

F

44

10

LP LP

Vessel attenuation RPE mottling and spicule deposits from the mid-retina to the periphery

macular atrophy with spicule deposits

Macular atrophy

 

F9

IV.4

M

30

10

1/10 1/20

Beaten-bronze aspect of the macula

Peripheral RPE atrophy

Mild optic atrophy,

Narrowing of the

Vessels

Macular atrophy

Altered photopic and scotopic responses

CRD

C8ORF37

IV.6

F

32

8

HM HM

 

Macular atrophy

 

IV.2

M

52

Infancy

LP LP

Gliosis of the posterior pole

Diffuse retinal atrophy

Macular atrophy with parafoveolar gliosis

 

F10

II.1

F

43

18

1/10 RE

2/10 LE

Symmetrical cloverleaf maculopathy with patchy circular midperipheral RPE atrophy and nummular pigment deposits

Macular atrophy

Altered cone and rods ERG predominating on photopic responses

CRD

C2ORF71

II.2

M

48

15

3/10 RE/LE

  

II.3

M

62

14

LP

RE/LE

  

F11

II.2

F

43

9

Finger count

Diffuse macular, peripapillary and RPE atrophy extending beyond the vascular arcades

Hyperplasia of the RPE

Macular atrophy

 

CRD

ABCA4

F12

II.1

F

58

10

HM

Diffuse macular, peripapillary and peripheral RPE atrophy;

Macular atrophy

Altered ERG responses predominating on photopic waves

STGD

ABCA4

F13

II.2

F

14

6

1/10 RE/LE

Bull’s eye maculopathy

yellowish deposits

Macular atrophy

 

STGD

ABCA4

F14

III.3

F

18

6

1/10 RE/LE

Bull’s eye maculopathy

yellowish deposits

Macular atrophy

 

STGD

ABCA4

F15

II.1

F

19

Before five

HM

Bull’s eye maculopathy

Peripheral RPE

Atrophy and yellowish deposits

Macular atrophy

Altered photopic responses with slightly altered scotopic responses

STGD

ABCA4

II.2

M

14

Before

Five

Hand

movement

Bull’s eye maculopathy

Peripheral RPE

Atrophy and yellowish deposits

Macular atrophy

Altered photopic responses with slightly altered scotopic responses

F16

V.4

M

21

5

7/10 6/10

Few bone spicule shaped

pigment deposits and white dot deposits in the mid periphery

Narrowing of the vessels. Waxy optic discs

Normal

 

RP

NMNAT1

V.1

F

23

5

5/10

5/10

Few bone

Spicule shaped

Pigment deposits and white dot deposits in

the mid periphery

Hyperplasia of the RPE

 

F17

V.1

F

29

20

10/10 3/10

Typical RP changes with bone spicule shaped pigment

deposits in the

mid periphery along with normal retinal areas

Normal macula

 

RP

PRPH2

F18

IV.1

M

33

11

1/20 RE/LE

Rare bone

Spicule shaped

Pigment deposits

Large areas of retinal atrophy around vessels

Macular atrophy

 

RP

FAM161A

IV.3

F

28

18

10/10 RE/LE

Rare bone

Spicule shaped

Pigment deposits in mid periphery

Normal macula

 

F19

IV.2

F

63

16

3/10 RE

1/10 LE

Typical RP changes with bone spicule shaped pigment

deposits in the

mid periphery

Normal macula

 

RP

CNGB1

F20

II.5

F

52

10

2/10

RE/LE

Typical RP changes with bone spicule shaped pigment

deposits in the

mid periphery

Yellowish macular deposits

Atrophy

 

RP

EYS

F21

II.5

F

32

16

5/10 RE/LE

Typical RP changes with bone spicule shaped pigment

deposits in the

mid periphery

Normal

 

RP

EYS

F22

II.2

M

45

9

HM RE/LE

Cone-rod dystrophy with bone spicule deposits and atrophy in the posterior pole and peripheral retina

Macular atrophy

 

BBS

BBS5

F23

II.1

M

41

8

1/20

Rare bone spicule shaped pigment deposits in the

mid periphery

macular atrophy

Atrophy

 

BBS

BBS5

F24

II.3

M

36

Birth

1/10 RE/LE

Normal fundus examination

High myopia

Normal macula

 

ACHM

CNGA3

F25

II.1

M

18

Birth

2/10 RE/LE

Normal fundus examination

Retrofoveolar ellipsoid dysruption

 

ACHM

CNGB3

F26

II.1

F

50

Before 5

2/10

RE /LE

High myopia, cataract

Chorioretinal atrophy

Atrophy

 

CSNB

TRPM1

  1. CF = counting fingers; HM = hand movements; LP = light perception; HM: hand movement.
  2. RE = right eye; LE = Left eye; RLE = both eyes.
  3. CRD = cone rod dystrophy; STGD = Stargardt macular degeneration; LCA = Leber congenital amaurosis; RP = retinitis pigmentosa; CSNB = congenital stationary night blindness; ACHM = Achromatopsia; BBS = Bardet–Biedl syndrome.
  4. F = female; M = male; PP = posterior pole; RPE = retinal pigment epithelium.