Life (Mar 2021)

Clinical Characteristics, Differential Diagnosis and Genetic Analysis of Concentric Retinitis Pigmentosa

  • Mei Nakahara,
  • Akio Oishi,
  • Manabu Miyata,
  • Hanako Ohashi Ikeda,
  • Tomoko Hasegawa,
  • Shogo Numa,
  • Yuki Otsuka,
  • Maho Oishi,
  • Fumihiko Matsuda,
  • Akitaka Tsujikawa

DOI
https://doi.org/10.3390/life11030260
Journal volume & issue
Vol. 11, no. 3
p. 260

Abstract

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Concentric retinitis pigmentosa (RP), in which retinal degeneration is limited in the periphery, is rare and little information exists to date on the subject. Herein, we describe the clinical and genetic characteristics of this atypical form of RP. We retrospectively reviewed our database and identified 14 patients with concentric RP. Additionally, 14 patients with age-matched typical RP were also included. Patients with concentric RP had better visual acuity (logarithm of minimum angle of resolution −0.04 vs. 0.32, p = 0.047) and preserved ellipsoid zones (7630 µm vs. 2646 µm, p EYS gene in one patient and the RP9 gene in one patient. Two patients had myotonic dystrophy and the diagnosis was revised as myotonic dystrophy-associated retinopathy. Concentric RP is a rare, atypical form of RP with better visual function. There is some overlap in the causative genes in concentric and typical RP. Myotonic dystrophy-associated retinopathy is an important differential diagnosis.

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