POC1B Mutation in Recessive Cone-Rod Dystrophy

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Original Investigation Research

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duplication and length control. Mol Biol Cell. 2009; 20(4):1150-1166. 15. Pearson CG, Osborn DP, Giddings TH Jr, Beales PL, Winey M. Basal body stability and ciliogenesis requires the conserved component Poc1. J Cell Biol. 2009;187(6):905-920. 16. Nishimura DY, Baye LM, Perveen R, et al. Discovery and functional analysis of a retinitis pigmentosa gene, C2ORF71. Am J Hum Genet. 2010; 86(5):686-695. 17. Estrada-Cuzcano A, Neveling K, Kohl S, et al; European Retinal Disease Consortium. Mutations in C8orf37, encoding a ciliary protein, are associated with autosomal-recessive retinal dystrophies with early macular involvement. Am J Hum Genet. 2012; 90(1):102-109.

OPHTHALMIC IMAGES

Optical Coherence Tomography of a Cystic Retinal Tuft Lauren S. Taney, MD; Caroline R. Baumal, MD A

B

C

D

Cystic retinal tuft (CRT) is a developmental vitreoretinal abnormality found in 5% of autopsy eyes. Clinical examination reveals a focal, elevated gliotic lesion in the peripheral retina associated with vitreous traction (Figure, A and B). Histopathological analysis demonstrates a dome-shaped area with internal microcysts, glial cell proliferation, outer retinal degeneration, and photoreceptor loss. Optical coherence tomography reveals a similar configuration with separation of the retina from the retinal pigment epithelium (Figure, C and D). The characteristic intralesional cystic changes on histopathological analysis are not apparent with optical coherence tomography. To our knowledge, optical coherence tomography of CRT has not previously been reported and imaging may be precluded by its peripheral location. The firm vitreous adhesion to a CRT may predispose to retinal tear during posterior vitreous detachment. However, the incidence of retinal detachment from CRT is low and estimated at 0.3%. Thus, prophylactic therapy of asymptomatic CRT is typically not indicated.

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