Best's vitelliform macular dystrophy caused by a new mutation (Val89Ala) in the VMD2 gene.

Abstract:

PURPOSE:To describe the clinical phenotype in a family with Best's vitelliform macular dystrophy (BMD) and a new mutation (Val89Ala) in the VMD2 gene. METHODS:The genotype was determined by direct sequence analysis of the individual exons of VMD2. Nine members of a family with BMD were examined. The examination included best-corrected visual acuity, electro-oculography (EOG), fundus examination, and photography. Four of the patients were also examined with full-field ERG and three with multifocal ERG. RESULTS:A T-to-C substitution was identified at position 370 in the cDNA of VMD2, leading to a Val89Ala change in the protein. Six patients, five with the Val89Ala mutation and a nine-year-old boy without the mutation, presented with a pathological Arden ratio on EOG examination. Most of the patients with BMD in this family had an onset of visual failure by the age of 40-50 years. The older patients in the family demonstrated atrophic macular dystrophy. CONCLUSIONS:Patients with BMD and the Val89Ala mutation in the VMD2 gene can present with a phenotype of a mostly late-onset visual failure. These BMD patients, who present with visual failure and macular degeneration in middle age, can be misdiagnosed as being affected with adult-onset macular dystrophies instead of BMD, because the latter is often regarded as a disease of childhood and adolescence.

journal_name

Ophthalmic Genet

journal_title

Ophthalmic genetics

authors

Eksandh L,Bakall B,Bauer B,Wadelius C,Andréasson S

doi

10.1076/opge.22.2.107.2226

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

107-15

issue

2

eissn

1381-6810

issn

1744-5094

journal_volume

22

pub_type

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