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Br J Ophthalmol 89:198-206 doi:10.1136/bjo.2004.050773
  • Clinical science
    • Extended reports

A detailed study of the phenotype of an autosomal dominant cone-rod dystrophy (CORD7) associated with mutation in the gene for RIM1

Table 2

 Summary of clinical findings

Patient Sex Age Visual acuityRE-LE Age of onset Fundus AF imaging ERG PERG Colour vision
BEM, bull’s eye maculopathy; IV:2 was asymptomatic; ERG, electro-retinography; PERG, pattern ERG.
II:2 F 81 6/60–6/60 20 Bilateral symmetrical macular atrophy and attenuated retinal vessels (fig 2E) Bilateral decreased AF corresponding to atrophy seen on ophthalmoscopy with a surrounding ring of relative increased AF Reduced cone and rod responses Absent Bilateral medium protan, deutan and tritan defects
II:5 F 68 3/36–3/60 33 Bilateral macular atrophy; attenuated retinal vessels and peripheral areas of atrophy (fig 4) Bilateral decreased AF corresponding to atrophy seen on ophthalmoscopy with a surrounding ring of relative increased AF Markedly reduced cone and absent rod responses Absent Bilateral medium protan, deutan and tritan defects
II:7 F 75 6/9–6/9 41 Bilateral “bull’s eye maculopathy” Concentric rings of increased and decreased AF Borderline reduced maximal responses Reduced Bilateral mild protan, deutan and tritan defects
III:1 M 52 6/36–6/36 30 Bilateral macular RPE changes with areas of atrophy and pigmentation; attenuated retinal vessels with peripheral areas of atrophy (fig 4) Bilateral decreased AF centrally with a surrounding ring of relative increased AF Cone responses more markedly reduced than rod Absent Bilateral mild protan, deutan and tritan defects
III:2 M 48 6/9–6/9 42 RE: RPE changes RE: Concentric rings of increased and decreased AF Borderline reduction Absent Bilateral mild protan, deutan and tritan defects
LE: Well defined area of macular atrophy (fig 2A) LE : Decreased AF corresponding to atrophy seen on ophthalmoscopy with surrounding ring of relative increased AF (fig 2B)
III:6 F 53 3/60–6/60 19 Extensive RPE atrophy and areas of pigmentation RE > LE; and attenuated retinal vessels Bilateral decreased AF centrally with a surrounding ring of relative increased AF Cone responses more markedly reduced than rod Absent Bilateral medium protan, deutan and tritan defects
IV:2 F 18 6/6–6/6 Bilateral mild macular RPE changes Bilateral perifoveal rings of relative increased AF (fig 5) Borderline reduction Reduced N
IV:3 M 31 6/18–3/60 14 Extensive RPE atrophy and areas of pigmentation LE > RE (fig 2C) Bilateral decreased AF centrally with a surrounding ring of relative increased AF (fig 2D) Markedly reduced cone and rod responses Absent Bilateral mild protan, deutan and tritan defects

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