[Best's disease with normal EOG. Case report of familial macular dystrophy]

Ophthalmologe. 2005 Sep;102(9):891-4. doi: 10.1007/s00347-004-1088-z.
[Article in German]

Abstract

Best's disease is an autosomal dominant disorder with incomplete penetrance and variable expression. A typical characteristic of Best's disease is a pathological EOG. We describe four members of a family with bilateral, subfoveal vitelliform lesions. The EOG was normal in all cases. Genetic analysis of the oldest son indicated a heterozygotic mutation Ala234Val in the VMD2 gene, so-called bestrophin gene, which is associated with Best's disease. Molecular genetic analysis also found Best's disease with a normal EOG. A normal EOG cannot exclude Best's disease. The family members should receive genetic consultation and if wished analysis of the VMD2 gene.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bestrophins
  • Chloride Channels
  • Corneal Dystrophies, Hereditary / diagnosis*
  • Corneal Dystrophies, Hereditary / genetics
  • Corneal Dystrophies, Hereditary / metabolism*
  • DNA Mutational Analysis / methods
  • Diagnostic Errors
  • Electrooculography*
  • Eye Proteins / genetics*
  • Female
  • Genetic Predisposition to Disease / genetics
  • Humans
  • Incidence
  • Male
  • Pedigree*
  • Polymorphism, Genetic
  • Risk Assessment / methods
  • Risk Factors

Substances

  • BEST1 protein, human
  • Bestrophins
  • Chloride Channels
  • Eye Proteins