Cystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy
Abstract Cohen syndrome (CS) is a rare syndromic form of rod-cone dystrophy. Recent case reports have suggested that cystoid maculopathy (CM) could affect CS patients with an early onset and high prevalence. Our study aims at improving our understanding and management of CM in CS patients through a...
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Nature Portfolio
2021
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oai:doaj.org-article:4fba79ce68f2425891072fbe06c9b9c32021-12-02T15:07:55ZCystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy10.1038/s41598-021-95743-82045-2322https://doaj.org/article/4fba79ce68f2425891072fbe06c9b9c32021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95743-8https://doaj.org/toc/2045-2322Abstract Cohen syndrome (CS) is a rare syndromic form of rod-cone dystrophy. Recent case reports have suggested that cystoid maculopathy (CM) could affect CS patients with an early onset and high prevalence. Our study aims at improving our understanding and management of CM in CS patients through a retrospective case series of ten CS patients with identified pathogenic variants in VPS13B. Longitudinal optical coherence tomography (OCT) imaging was performed and treatment with carbonic anhydrase inhibitors (CAI) was provided to reduce the volume of cystoid spaces. CM affected eight out of ten patients in our cohort. The youngest patient showed a strong progression of macular cysts from the age of 4.5 to 5 years despite oral CAI medication. Other teenage and young adult patients showed stable macular cysts with and without treatment. One patient showed a moderate decrease of cystoid spaces in the absence of treatment at 22 years of age. Through a correlative analysis we found that the volume of cystoid spaces was positively correlated to the thickness of peripheral and macular photoreceptor-related layers. This study suggests that CAI treatments may not suffice to improve CM in CS patients, and that CM may resolve spontaneously during adulthood as photoreceptor dystrophy progresses.Pierre-Henry GabrielleLaurence FaivreIsabelle AudoXavier ZanlonghiHélène DollfusAlberta A. H. J. ThiadensChristina ZeitzGrazia M. S. ManciniYaumara PerdomoSaddek Mohand-SaïdEléonore LizéVincent LhussiezEmeline F. NandrotNiyazi AcarCatherine Creuzot-GarcherJosé-Alain SahelMuhammad AnsarChristel Thauvin-RobinetLaurence DuplombRomain Da CostaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021) |
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Medicine R Science Q Pierre-Henry Gabrielle Laurence Faivre Isabelle Audo Xavier Zanlonghi Hélène Dollfus Alberta A. H. J. Thiadens Christina Zeitz Grazia M. S. Mancini Yaumara Perdomo Saddek Mohand-Saïd Eléonore Lizé Vincent Lhussiez Emeline F. Nandrot Niyazi Acar Catherine Creuzot-Garcher José-Alain Sahel Muhammad Ansar Christel Thauvin-Robinet Laurence Duplomb Romain Da Costa Cystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy |
| description |
Abstract Cohen syndrome (CS) is a rare syndromic form of rod-cone dystrophy. Recent case reports have suggested that cystoid maculopathy (CM) could affect CS patients with an early onset and high prevalence. Our study aims at improving our understanding and management of CM in CS patients through a retrospective case series of ten CS patients with identified pathogenic variants in VPS13B. Longitudinal optical coherence tomography (OCT) imaging was performed and treatment with carbonic anhydrase inhibitors (CAI) was provided to reduce the volume of cystoid spaces. CM affected eight out of ten patients in our cohort. The youngest patient showed a strong progression of macular cysts from the age of 4.5 to 5 years despite oral CAI medication. Other teenage and young adult patients showed stable macular cysts with and without treatment. One patient showed a moderate decrease of cystoid spaces in the absence of treatment at 22 years of age. Through a correlative analysis we found that the volume of cystoid spaces was positively correlated to the thickness of peripheral and macular photoreceptor-related layers. This study suggests that CAI treatments may not suffice to improve CM in CS patients, and that CM may resolve spontaneously during adulthood as photoreceptor dystrophy progresses. |
| format |
article |
| author |
Pierre-Henry Gabrielle Laurence Faivre Isabelle Audo Xavier Zanlonghi Hélène Dollfus Alberta A. H. J. Thiadens Christina Zeitz Grazia M. S. Mancini Yaumara Perdomo Saddek Mohand-Saïd Eléonore Lizé Vincent Lhussiez Emeline F. Nandrot Niyazi Acar Catherine Creuzot-Garcher José-Alain Sahel Muhammad Ansar Christel Thauvin-Robinet Laurence Duplomb Romain Da Costa |
| author_facet |
Pierre-Henry Gabrielle Laurence Faivre Isabelle Audo Xavier Zanlonghi Hélène Dollfus Alberta A. H. J. Thiadens Christina Zeitz Grazia M. S. Mancini Yaumara Perdomo Saddek Mohand-Saïd Eléonore Lizé Vincent Lhussiez Emeline F. Nandrot Niyazi Acar Catherine Creuzot-Garcher José-Alain Sahel Muhammad Ansar Christel Thauvin-Robinet Laurence Duplomb Romain Da Costa |
| author_sort |
Pierre-Henry Gabrielle |
| title |
Cystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy |
| title_short |
Cystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy |
| title_full |
Cystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy |
| title_fullStr |
Cystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy |
| title_full_unstemmed |
Cystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy |
| title_sort |
cystoid maculopathy is a frequent feature of cohen syndrome-associated retinopathy |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/4fba79ce68f2425891072fbe06c9b9c3 |
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