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Retinitis pigmentosa 96(RP96)

MedGen UID:
1824076
Concept ID:
C5774303
Disease or Syndrome
Synonyms: Retinitis pigmentosa 96, autosomal dominant; RP96
 
Gene (location): SAG (2q37.1)
 
Monarch Initiative: MONDO:0859367
OMIM®: 620228

Definition

Retinitis pigmentosa-96 (RP96) is characterized by difficulty with night vision and progressive visual field constriction beginning as early as the third decade of life, but most patients retain good visual acuity into the seventh decade. Funduscopy shows the typical features of RP, including bone-spicule pigmentation, attenuation of retinal vasculature, optic disc pallor, and cystic macular edema. Unlike patients with biallelic mutations in the SAG gene, they do not show the golden sheen of the fundus that is typical of Oguchi disease (Sullivan et al., 2017). For a general phenotypic description and discussion of genetic heterogeneity of retinitis pigmentosa, see 268000. [from OMIM]

Clinical features

From HPO
Reduced visual acuity
MedGen UID:
65889
Concept ID:
C0234632
Finding
Diminished clarity of vision.
Constriction of peripheral visual field
MedGen UID:
68613
Concept ID:
C0235095
Finding
An absolute or relative decrease in retinal sensitivity extending from edge (periphery) of the visual field in a concentric pattern. The visual field is the area that is perceived simultaneously by a fixating eye.
Bone spicule pigmentation of the retina
MedGen UID:
323029
Concept ID:
C1836926
Finding
Pigment migration into the retina in a bone-spicule configuration (resembling the nucleated cells within the lacuna of bone).
Retinal thinning
MedGen UID:
762617
Concept ID:
C3549703
Finding
Reduced anteroposterior thickness of the retina. This phenotype can be appreciated by retinal optical coherence tomography (OCT).
Rod-cone dystrophy
MedGen UID:
1632921
Concept ID:
C4551714
Disease or Syndrome
An inherited retinal disease subtype in which the rod photoreceptors appear to be more severely affected than the cone photoreceptors. Typical presentation is with nyctalopia (due to rod dysfunction) followed by loss of mid-peripheral field of vision, which gradually extends and leaves many patients with a small central island of vision due to the preservation of macular cones.

Professional guidelines

PubMed

Dassie F, Lorusso R, Benavides-Varela S, Milan G, Favaretto F, Callus E, Cagnin S, Reggiani F, Minervini G, Tosatto S, Vettor R, Semenza C, Maffei P
Am J Med Genet A 2021 Mar;185(3):732-742. Epub 2021 Jan 7 doi: 10.1002/ajmg.a.62029. PMID: 33410256
Panny A, Glurich I, Haws RM, Acharya A
J Dent Res 2017 Nov;96(12):1361-1369. Epub 2017 Jun 29 doi: 10.1177/0022034517716913. PMID: 28662344Free PMC Article
Klassen H
Expert Opin Biol Ther 2016;16(1):7-14. Epub 2015 Sep 28 doi: 10.1517/14712598.2016.1093110. PMID: 26414165

Recent clinical studies

Etiology

Li C, Zhang C, Bai D, Cui Y
Ophthalmic Genet 2024 Oct;45(5):441-451. Epub 2024 Aug 29 doi: 10.1080/13816810.2024.2357305. PMID: 39206744
Gocuk SA, Jolly JK, Edwards TL, Ayton LN
Prog Retin Eye Res 2023 Sep;96:101190. Epub 2023 Jul 3 doi: 10.1016/j.preteyeres.2023.101190. PMID: 37406879
Jiang F, Pan Z, Xu K, Tian L, Xie Y, Zhang X, Chen J, Dong B, Li Y
Invest Ophthalmol Vis Sci 2016 Jan 1;57(1):145-52. doi: 10.1167/iovs.15-18190. PMID: 26780318
Jabłońska A, Ciszewska J, Kęcik D
Klin Oczna 2014;116(4):272-6. PMID: 25906639
Mehndiratta MM, Agarwal P, Tatke M, Krishnamurthy M
Neurol India 2002 Jun;50(2):162-7. PMID: 12134180

Diagnosis

Gocuk SA, Jolly JK, Edwards TL, Ayton LN
Prog Retin Eye Res 2023 Sep;96:101190. Epub 2023 Jul 3 doi: 10.1016/j.preteyeres.2023.101190. PMID: 37406879
Dong L, He W, Zhang R, Ge Z, Wang YX, Zhou J, Xu J, Shao L, Wang Q, Yan Y, Xie Y, Fang L, Wang H, Wang Y, Zhu X, Wang J, Zhang C, Wang H, Wang Y, Chen R, Wan Q, Yang J, Zhou W, Li H, Yao X, Yang Z, Xiong J, Wang X, Huang Y, Chen Y, Wang Z, Rong C, Gao J, Zhang H, Wu S, Jonas JB, Wei WB
JAMA Netw Open 2022 May 2;5(5):e229960. doi: 10.1001/jamanetworkopen.2022.9960. PMID: 35503220Free PMC Article
Huang H, Chen Y, Chen H, Ma Y, Chiang PW, Zhong J, Liu X, Asan, Wu J, Su Y, Li X, Deng J, Huang Y, Zhang X, Li Y, Fan N, Wang Y, Tang L, Shen J, Chen M, Zhang X, Te D, Banerjee S, Liu H, Qi M, Yi X
PLoS One 2018;13(4):e0185237. Epub 2018 Apr 11 doi: 10.1371/journal.pone.0185237. PMID: 29641573Free PMC Article
Jiang F, Pan Z, Xu K, Tian L, Xie Y, Zhang X, Chen J, Dong B, Li Y
Invest Ophthalmol Vis Sci 2016 Jan 1;57(1):145-52. doi: 10.1167/iovs.15-18190. PMID: 26780318
Mehndiratta MM, Agarwal P, Tatke M, Krishnamurthy M
Neurol India 2002 Jun;50(2):162-7. PMID: 12134180

Therapy

Klassen H
Expert Opin Biol Ther 2016;16(1):7-14. Epub 2015 Sep 28 doi: 10.1517/14712598.2016.1093110. PMID: 26414165
Zong Y, Lin L, Yi C, Huang X, Fu Y, Dong Y, Qian X, Li Y, Gao Q
Graefes Arch Clin Exp Ophthalmol 2016 Feb;254(2):243-52. Epub 2015 May 8 doi: 10.1007/s00417-015-3039-6. PMID: 25952041
Jabłońska A, Ciszewska J, Kęcik D
Klin Oczna 2014;116(4):272-6. PMID: 25906639
Chacón-López H, Pelayo FJ, López-Justicia MD, Morillas CA, Ureña R, Chacón-Medina A, Pino B
J Rehabil Res Dev 2013;50(8):1157-68. doi: 10.1682/JRRD.2012.06.0113. PMID: 24458902
Delyfer MN, Léveillard T, Mohand-Saïd S, Hicks D, Picaud S, Sahel JA
Biol Cell 2004 May;96(4):261-9. doi: 10.1016/j.biolcel.2004.01.006. PMID: 15145530

Prognosis

Georgiou M, Robson AG, Jovanovic K, Guimarães TAC, Ali N, Pontikos N, Uwaydat SH, Mahroo OA, Cheetham ME, Webster AR, Hardcastle AJ, Michaelides M
Ophthalmology 2023 Apr;130(4):413-422. Epub 2022 Nov 22 doi: 10.1016/j.ophtha.2022.11.015. PMID: 36423731Free PMC Article
Nakamura S, Fujiwara K, Yoshida N, Murakami Y, Shimokawa S, Koyanagi Y, Ikeda Y, Sonoda KH
Ophthalmol Retina 2022 Apr;6(4):268-272. Epub 2021 Dec 16 doi: 10.1016/j.oret.2021.12.010. PMID: 34923176
Meral N, Zabek O, Camenzind Zuche H, Müller U, Prétot D, Rickmann A, Scholl HPN, Della Volpe Waizel M
Ophthalmic Res 2022;65(1):52-59. Epub 2021 Oct 4 doi: 10.1159/000519998. PMID: 34607326
Della Volpe-Waizel M, Zuche HC, Müller U, Rickmann A, Scholl HPN, Todorova MG
Graefes Arch Clin Exp Ophthalmol 2020 Jan;258(1):79-87. Epub 2019 Nov 12 doi: 10.1007/s00417-019-04522-9. PMID: 31713752
Jiang F, Pan Z, Xu K, Tian L, Xie Y, Zhang X, Chen J, Dong B, Li Y
Invest Ophthalmol Vis Sci 2016 Jan 1;57(1):145-52. doi: 10.1167/iovs.15-18190. PMID: 26780318

Clinical prediction guides

Li C, Zhang C, Bai D, Cui Y
Ophthalmic Genet 2024 Oct;45(5):441-451. Epub 2024 Aug 29 doi: 10.1080/13816810.2024.2357305. PMID: 39206744
Georgiou M, Robson AG, Jovanovic K, Guimarães TAC, Ali N, Pontikos N, Uwaydat SH, Mahroo OA, Cheetham ME, Webster AR, Hardcastle AJ, Michaelides M
Ophthalmology 2023 Apr;130(4):413-422. Epub 2022 Nov 22 doi: 10.1016/j.ophtha.2022.11.015. PMID: 36423731Free PMC Article
Dong L, He W, Zhang R, Ge Z, Wang YX, Zhou J, Xu J, Shao L, Wang Q, Yan Y, Xie Y, Fang L, Wang H, Wang Y, Zhu X, Wang J, Zhang C, Wang H, Wang Y, Chen R, Wan Q, Yang J, Zhou W, Li H, Yao X, Yang Z, Xiong J, Wang X, Huang Y, Chen Y, Wang Z, Rong C, Gao J, Zhang H, Wu S, Jonas JB, Wei WB
JAMA Netw Open 2022 May 2;5(5):e229960. doi: 10.1001/jamanetworkopen.2022.9960. PMID: 35503220Free PMC Article
García García LC, Zamorano Martín F, Rocha de Lossada C, García Lorente M, Luque Aranda G, Escudero Gómez J
Arch Soc Esp Oftalmol (Engl Ed) 2021 Sep;96(9):496-499. Epub 2020 Nov 28 doi: 10.1016/j.oftale.2020.07.013. PMID: 34479707
Pruett RC
Trans Am Ophthalmol Soc 1983;81:693-735. PMID: 6676982Free PMC Article

Recent systematic reviews

Hosseini F, Asadi F, Rabiei R, Kiani F, Harari RE
Surv Ophthalmol 2024 Nov-Dec;69(6):937-944. Epub 2024 Jun 27 doi: 10.1016/j.survophthal.2024.06.005. PMID: 38942125
Koster C, Wever KE, Wagstaff EL, Hirk KTVD, Hooijmans CR, Bergen AA
Int J Mol Sci 2020 Apr 14;21(8) doi: 10.3390/ijms21082719. PMID: 32295315Free PMC Article

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