Oguchi disease masked by retinitis pigmentosa
pmid: 21922265
Oguchi disease masked by retinitis pigmentosa
The purpose of this study was to report a patient with Oguchi disease whose ophthalmological characteristics were masked by retinitis pigmentosa (RP). The method used in this study was case report. A 53-year-old man had a progressive decrease in his visual acuity and was diagnosed with RP because of night blindness, fundoscopic findings, ring scotoma, and extinguished single-flash electroretinograms (ERGs). However, a faint golden-yellowish reflex of the retina prompted us to make a more detailed examination of the fundus after a long period of dark adaptation, ERGs, and genetic analysis. Examinations showed the Mizuo-Nakamura phenomenon, relative intact photopic ERGs, and a SAG mutation, and the patient was diagnosed with RP associated with Oguchi disease. When RP accompanies Oguchi disease, the clinical characteristics of Oguchi disease might be masked. In such a situation, the correct diagnosis is difficult. However, careful analysis of clinical findings will suggest Oguchi disease, which can be confirmed by molecular genetics.
- Ideta Eye Hospital Japan
- Teikyo University Japan
- RIKEN Center for Biosystems Dynamics Research Japan
- Aichi Medical University Japan
- RIKEN Japan
Male, Arrestin, Fundus Oculi, G-Protein-Coupled Receptor Kinase 1, Dark Adaptation, Eye Diseases, Hereditary, DNA, Middle Aged, Polymerase Chain Reaction, Retina, Pedigree, Diagnosis, Differential, Night Blindness, Electroretinography, Humans, Point Mutation, Genetic Predisposition to Disease, Fluorescein Angiography, Retinitis Pigmentosa, Tomography, Optical Coherence
Male, Arrestin, Fundus Oculi, G-Protein-Coupled Receptor Kinase 1, Dark Adaptation, Eye Diseases, Hereditary, DNA, Middle Aged, Polymerase Chain Reaction, Retina, Pedigree, Diagnosis, Differential, Night Blindness, Electroretinography, Humans, Point Mutation, Genetic Predisposition to Disease, Fluorescein Angiography, Retinitis Pigmentosa, Tomography, Optical Coherence
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