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LETTER TO JMG
A Tyr368His RPE65 founder mutation is associated with variable expression and progression of early onset retinal dystrophy in 10 families of a genetically isolated population
1 The Rotterdam Eye Hospital, Rotterdam, Netherlands
2 Department of Human Genetics, University Medical Centre Nijmegen, Nijmegen, Netherlands
3 Institute for the Visually Handicapped "Bartimeus", Zeist, Netherlands
4 Department of Medical Genetics, University Medical Centre Utrecht, Netherlands
5 The McGill Ocular Genetics Laboratory, Montreal Childrens Hospital Research Institute, McGill University Montreal, Canada
Correspondence to:
Correspondence to:
Dr F P M Cremers Department of Human Genetics, University Medical Centre Nijmegen, PO Box 9101, 6500 HB Nijmegen, Netherlands;
f.cremers@antrg.umcn.nl
Keywords: early onset retinal dystrophy; RPE65 founder mutation; carrier frequency; genetic isolate
| The first 150 words of the full text of this article appear below. |
Autosomal recessive retinal dystrophies cause visual impairment in approximately 1 in 4000 individuals worldwide.1 The non-syndromic forms are highly heterogeneous and can be classified into clinical subgroups, the most frequent ones being retinitis pigmentosa, cone and cone-rod dystrophies, and Leber congenital amaurosis (LCA). LCA represents the most severe phenotype with an onset of symptoms before the age of six months, visual acuity below 20/400, a searching nystagmus, sluggish pupillary reactions, and a non-detectable electroretinogram (ERG). Visual fields are usually not measurable.1 Photophobia is only occasionally reported in LCA.2 Patients with juvenile and early onset retinitis pigmentosa present with night blindness in early childhood, usually before the age of two years. They do not show searching nystagmus3 and have a relatively well preserved macular function. Central vision is often lost in the second or third decade of life.4
The cloning of more than 20 genes allows the molecular characterisation of approximately
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