Chiou YR, Cheng HC, Wang AG. Astrocytic hamartoma in a patient heterozygous for
RIM1 mutation associated-retinal dystrophy.
Ophthalmic Genet 2022;
43:409-412. [PMID:
35014575 DOI:
10.1080/13816810.2022.2025604]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND
Autosomal-dominant cone-rod dystrophy 7 (CORD7) has been documented in association with RIM1 mutation (c.2459 G>A). We report a patient with retinal dystrophy who was heterozygous for RIM1 missense variant with a newly found point mutation (c.4036 G>T). Clinical findings of this genetic variant manifested differently from a typical CORD7. In addition, astrocytic hamartomas at bilateral optic discs are also a unique feature, which has not been described in CORD previously.
MATERIALS AND METHODS
Medical records of this patient were retrospectively reviewed. Genetic testing with whole exon sequencing was performed.
RESULTS
This 43-year-old female with history of decreased night vision since childhood came to our hospital complaining of blurred vision in both eyes for more than half a year. Her best-corrected visual acuity was 20/200 in both eyes. Dilated fundoscopic examination revealed symmetric diffuse atrophy of retinal pigment epithelium with peripheral pigmentary clumps. Also, optic disc astrocytic hamartomas were found bilaterally. Optical coherence tomography revealed extensive disruption of inner segment/outer segment junction in both eyes. Visual field test showed severe peripheral defect sparing central vision. Electroretinogram demonstrated both rod and cone cells abnormalities. Subsequent genetic testing reported heterozygosity for the RIM1 (c.4036 G>T) mutation.
CONCLUSIONS
This is the first reported case of RIM1 mutation-associated retinal dystrophy with a newly found point mutation (c.4036 G>T), which presented differently from a typical CORD7 and more similarly to the phenotype of RP. Furthermore, our finding of bilateral optic disc astrocytic hamartomas has not been reported in association with CORD previously.
Collapse