CLINICAL CHARACTERISTICS AND NATURAL HISTORY OF RHO-ASSOCIATED RETINITIS PIGMENTOSA: A Long-Term Follow-Up Study

Xuan-Thanh-An Nguyen, Mays Talib, Caroline van Cauwenbergh, Mary J van Schooneveld, Marta Fiocco, Jan Wijnholds, Jacoline B Ten Brink, Ralph J Florijn, Nicoline E Schalij-Delfos, Gislin Dagnelie, Maria M van Genderen, Elfride de Baere, Magda A Meester-Smoor, Julie De Zaeytijd, Irina Balikova, Alberta A Thiadens, Carel B Hoyng, Caroline C Klaver, L Ingeborgh van den Born, Arthur A BergenBart P Leroy, Camiel J F Boon

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Abstract

PURPOSE: To investigate the natural history of RHO-associated retinitis pigmentosa (RP).

METHODS: A multicenter, medical chart review of 100 patients with autosomal dominant RHO-associated RP.

RESULTS: Based on visual fields, time-to-event analysis revealed median ages of 52 and 79 years to reach low vision (central visual field <20°) and blindness (central visual field <10°), respectively. For the best-corrected visual acuity (BCVA), the median age to reach mild impairment (20/67 ≤ BCVA < 20/40) was 72 years, whereas this could not be computed for lower acuities. Disease progression was significantly faster in patients with a generalized RP phenotype (n = 75; 75%) than that in patients with a sector RP phenotype (n = 25; 25%), in terms of decline rates of the BCVA (P < 0.001) and V4e retinal seeing areas (P < 0.005). The foveal thickness of the photoreceptor-retinal pigment epithelium (PR + RPE) complex correlated significantly with BCVA (Spearman's ρ = 0.733; P < 0.001).

CONCLUSION: Based on central visual fields, the optimal window of intervention for RHO-associated RP is before the 5th decade of life. Significant differences in disease progression are present between generalized and sector RP phenotypes. Our findings suggest that the PR + RPE complex is a potential surrogate endpoint for the BCVA in future studies.

Original languageEnglish
JournalRetina
VolumePublish Ahead of Print
Early online date15 Apr 2020
DOIs
Publication statusPublished - 15 Apr 2020

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    Nguyen, X-T-A., Talib, M., van Cauwenbergh, C., van Schooneveld, M. J., Fiocco, M., Wijnholds, J., Ten Brink, J. B., Florijn, R. J., Schalij-Delfos, N. E., Dagnelie, G., van Genderen, M. M., de Baere, E., Meester-Smoor, M. A., De Zaeytijd, J., Balikova, I., Thiadens, A. A., Hoyng, C. B., Klaver, C. C., van den Born, L. I., ... Boon, C. J. F. (2020). CLINICAL CHARACTERISTICS AND NATURAL HISTORY OF RHO-ASSOCIATED RETINITIS PIGMENTOSA: A Long-Term Follow-Up Study. Retina, Publish Ahead of Print. https://doi.org/10.1097/IAE.0000000000002808