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Repeatability and Longitudinal Assessment of Foveal Cone Structure in Cngb3-associated Achromatopsia

Langlo, CS; Erker, LR; Parker, M; Patterson, EJ; Higgins, BP; Summerfelt, P; Razeen, MM; ... Carroll, J; + view all (2017) Repeatability and Longitudinal Assessment of Foveal Cone Structure in Cngb3-associated Achromatopsia. Retina , 37 (10) pp. 1956-1966. 10.1097/iae.0000000000001434. Green open access

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Abstract

PURPOSE: Congenital achromatopsia is an autosomal recessive disease causing substantial reduction or complete absence of cone function. Although believed to be a relatively stationary disorder, questions remain regarding the stability of cone structure over time. In this study, the authors sought to assess the repeatability of and examine longitudinal changes in measurements of central cone structure in patients with achromatopsia. METHODS: Forty-one subjects with CNGB3-associated achromatopsia were imaged over a period of between 6 and 26 months using optical coherence tomography and adaptive optics scanning light ophthalmoscopy. Outer nuclear layer (ONL) thickness, ellipsoid zone (EZ) disruption, and peak foveal cone density were assessed. RESULTS: ONL thickness increased slightly compared with baseline (0.184 μm/month, P = 0.02). The EZ grade remained unchanged for 34/41 subjects. Peak foveal cone density did not significantly change over time (mean change 1% per 6 months, P = 0.126). CONCLUSION: Foveal cone structure showed little or no change in this group of subjects with CNGB3-associated achromatopsia. Over the time scales investigated (6–26 months), achromatopsia seems to be a structurally stable condition, although longer-term follow-up is needed. These data will be useful in assessing foveal cone structure after therapeutic intervention.

Type: Article
Title: Repeatability and Longitudinal Assessment of Foveal Cone Structure in Cngb3-associated Achromatopsia
Open access status: An open access version is available from UCL Discovery
DOI: 10.1097/iae.0000000000001434
Publisher version: http://doi.org/10.1097/iae.0000000000001434
Language: English
Additional information: © 2017 by Ophthalmic Communications Society, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/).
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/10086713
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