遗传性视网膜疾病的视网膜成像。

Annals of Eye Science Pub Date : 2020-09-01 Epub Date: 2020-09-15 DOI:10.21037/aes-20-81
Michalis Georgiou, Kaoru Fujinami, Michel Michaelides
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摘要

遗传性视网膜疾病(IRD)是劳动适龄人口失明的主要原因。眼部遗传学、视网膜成像和分子生物学的进步为建立 IRD 治疗方法创造了理想的环境,首例基因疗法获得批准,多项治疗试验也已开始。本综述的目的是让临床医生和科学家了解目前 IRD 视网膜成像的发展状况。在此,我们将以全面而简洁的方式介绍以下方面的成像结果:(I) 黄斑营养不良症(MD)[Stargardt 病(ABCA4)、X 连锁视网膜裂孔症(RS1)、Best 病(BEST1)、模式营养不良症(PRPH2)、Sorsby 眼底营养不良症(TIMP3)和常染色体显性葡萄肿(EFEMP1)],(II) 锥体和锥杆状营养不良症(GUCA1A、PRPH2、ABCA4 和 RPGR),(III) 锥体功能障碍综合征[色觉减退症(CNGA3、CNGB3、PDE6C、PDE6H、GNAT2、ATF6]、蓝锥体单色症(OPN1LW/OPN1MW 阵列)、寡锥体三色症、盲视症(RGS9/R9AP)和博恩霍姆眼病(OPN1LW/OPN1MW)、(IV) Leber 先天性失明(GUCY2D、CEP290、CRB1、RDH12、RPE65、TULP1、AIPL1 和 NMNAT1), (V) 视杆-视锥营养不良症[色素性视网膜炎、S-视锥增强综合征(NR2E3)、Bietti 晶状体角膜营养不良症(CYP4V2)]、(VII) 脉络膜视网膜营养不良症[脉络膜血症(CHM)、回旋肌萎缩症(OAT)]。
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Retinal imaging in inherited retinal diseases.

Inherited retinal diseases (IRD) are a leading cause of blindness in the working age population. The advances in ocular genetics, retinal imaging and molecular biology, have conspired to create the ideal environment for establishing treatments for IRD, with the first approved gene therapy and the commencement of multiple therapy trials. The scope of this review is to familiarize clinicians and scientists with the current landscape of retinal imaging in IRD. Herein we present in a comprehensive and concise manner the imaging findings of: (I) macular dystrophies (MD) [Stargardt disease (ABCA4), X-linked retinoschisis (RS1), Best disease (BEST1), pattern dystrophy (PRPH2), Sorsby fundus dystrophy (TIMP3), and autosomal dominant drusen (EFEMP1)], (II) cone and cone-rod dystrophies (GUCA1A, PRPH2, ABCA4 and RPGR), (III) cone dysfunction syndromes [achromatopsia (CNGA3, CNGB3, PDE6C, PDE6H, GNAT2, ATF6], blue-cone monochromatism (OPN1LW/OPN1MW array), oligocone trichromacy, bradyopsia (RGS9/R9AP) and Bornholm eye disease (OPN1LW/OPN1MW), (IV) Leber congenital amaurosis (GUCY2D, CEP290, CRB1, RDH12, RPE65, TULP1, AIPL1 and NMNAT1), (V) rod-cone dystrophies [retinitis pigmentosa, enhanced S-Cone syndrome (NR2E3), Bietti crystalline corneoretinal dystrophy (CYP4V2)], (VI) rod dysfunction syndromes (congenital stationary night blindness, fundus albipunctatus (RDH5), Oguchi disease (SAG, GRK1), and (VII) chorioretinal dystrophies [choroideremia (CHM), gyrate atrophy (OAT)].

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