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Achromatic retinal patches

MedGen UID:
348171
Concept ID:
C1860710
Finding
Synonym: Punched out areas of chorioretinal hypopigmentation
 
HPO: HP:0009727

Definition

Areas of the retina lacking pigmentation. Punched out areas of chorioretinal hypopigmentation less than 1 disk diameter in size and tending to be located in the midperiphery of the retina. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAchromatic retinal patches

Conditions with this feature

Tuberous sclerosis 1
MedGen UID:
344288
Concept ID:
C1854465
Disease or Syndrome
Tuberous sclerosis complex (TSC) involves abnormalities of the skin (hypomelanotic macules, confetti skin lesions, facial angiofibromas, shagreen patches, fibrous cephalic plaques, ungual fibromas); brain (subependymal nodules, cortical tubers, and subependymal giant cell astrocytomas [SEGAs], seizures, TSC-associated neuropsychiatric disorder [TAND]); kidneys (benign renal angiomyolipomas, epithelial cysts, oncocytoma, renal cell carcinoma); heart (rhabdomyomas, arrhythmias); and lungs (lymphangioleiomyomatosis [LAM], multifocal micronodular pneumonocyte hyperplasia). Central nervous system-related problems (including TAND) are the leading cause of morbidity, whereas kidney disease is the leading cause of mortality.
Tuberous sclerosis 2
MedGen UID:
348170
Concept ID:
C1860707
Disease or Syndrome
Tuberous sclerosis complex (TSC) involves abnormalities of the skin (hypomelanotic macules, confetti skin lesions, facial angiofibromas, shagreen patches, fibrous cephalic plaques, ungual fibromas); brain (subependymal nodules, cortical tubers, and subependymal giant cell astrocytomas [SEGAs], seizures, TSC-associated neuropsychiatric disorder [TAND]); kidneys (benign renal angiomyolipomas, epithelial cysts, oncocytoma, renal cell carcinoma); heart (rhabdomyomas, arrhythmias); and lungs (lymphangioleiomyomatosis [LAM], multifocal micronodular pneumonocyte hyperplasia). Central nervous system-related problems (including TAND) are the leading cause of morbidity, whereas kidney disease is the leading cause of mortality.

Recent clinical studies

Etiology

Öhnell HM, Kjellström U, Eklund E, Pearsson K, Bekassy Z, Gränse L
Acta Ophthalmol 2024 Jun;102(4):421-427. Epub 2023 Nov 22 doi: 10.1111/aos.15812. PMID: 37991117
Ashkenazy N, Yannuzzi NA, Berrocal AM
Ophthalmic Genet 2022 Feb;43(1):123-125. Epub 2021 Dec 10 doi: 10.1080/13816810.2021.1989599. PMID: 34886749
Martin GC, Dénier C, Zambrowski O, Grévent D, Bruère L, Brousse V, de Montalembert M, Brémond-Gignac D, Robert MP
JAMA Ophthalmol 2017 Oct 1;135(10):1100-1105. doi: 10.1001/jamaophthalmol.2017.3008. PMID: 28837721Free PMC Article
Reuter P, Koeppen K, Ladewig T, Kohl S, Baumann B, Wissinger B; Achromatopsia Clinical Study Group
Hum Mutat 2008 Oct;29(10):1228-36. doi: 10.1002/humu.20790. PMID: 18521937

Diagnosis

Öhnell HM, Kjellström U, Eklund E, Pearsson K, Bekassy Z, Gränse L
Acta Ophthalmol 2024 Jun;102(4):421-427. Epub 2023 Nov 22 doi: 10.1111/aos.15812. PMID: 37991117
Ashkenazy N, Yannuzzi NA, Berrocal AM
Ophthalmic Genet 2022 Feb;43(1):123-125. Epub 2021 Dec 10 doi: 10.1080/13816810.2021.1989599. PMID: 34886749
Taylor CP, Shepard TG, Rucker FJ, Eskew RT Jr
Invest Ophthalmol Vis Sci 2018 Sep 4;59(11):4622-4630. doi: 10.1167/iovs.18-24113. PMID: 30242363Free PMC Article
Tränkner D, Jägle H, Kohl S, Apfelstedt-Sylla E, Sharpe LT, Kaupp UB, Zrenner E, Seifert R, Wissinger B
J Neurosci 2004 Jan 7;24(1):138-47. doi: 10.1523/JNEUROSCI.3883-03.2004. PMID: 14715947Free PMC Article
Kim RY, Retsas S, Fitzke FW, Arden GB, Bird AC
Ophthalmology 1994 Nov;101(11):1837-43. doi: 10.1016/s0161-6420(94)31092-x. PMID: 7800366

Prognosis

Öhnell HM, Kjellström U, Eklund E, Pearsson K, Bekassy Z, Gränse L
Acta Ophthalmol 2024 Jun;102(4):421-427. Epub 2023 Nov 22 doi: 10.1111/aos.15812. PMID: 37991117
Wuerger S, Ashraf M, Kim M, Martinovic J, Pérez-Ortiz M, Mantiuk RK
J Vis 2020 Apr 9;20(4):23. doi: 10.1167/jov.20.4.23. PMID: 32347909Free PMC Article
Zawadzki RJ, Cense B, Zhang Y, Choi SS, Miller DT, Werner JS
Opt Express 2008 May 26;16(11):8126-43. doi: 10.1364/oe.16.008126. PMID: 18545525Free PMC Article
Kim RY, Retsas S, Fitzke FW, Arden GB, Bird AC
Ophthalmology 1994 Nov;101(11):1837-43. doi: 10.1016/s0161-6420(94)31092-x. PMID: 7800366

Clinical prediction guides

Wuerger S, Ashraf M, Kim M, Martinovic J, Pérez-Ortiz M, Mantiuk RK
J Vis 2020 Apr 9;20(4):23. doi: 10.1167/jov.20.4.23. PMID: 32347909Free PMC Article
Taylor CP, Shepard TG, Rucker FJ, Eskew RT Jr
Invest Ophthalmol Vis Sci 2018 Sep 4;59(11):4622-4630. doi: 10.1167/iovs.18-24113. PMID: 30242363Free PMC Article
Elliott SL, Cao D
J Vis 2013 Nov 14;13(13):15. doi: 10.1167/13.13.15. PMID: 24233245Free PMC Article
Kim RY, Retsas S, Fitzke FW, Arden GB, Bird AC
Ophthalmology 1994 Nov;101(11):1837-43. doi: 10.1016/s0161-6420(94)31092-x. PMID: 7800366
Schirillo JA, Shevell SK
J Opt Soc Am A Opt Image Sci Vis 1993 Dec;10(12):2442-52. doi: 10.1364/josaa.10.002442. PMID: 8301400

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