Skip to main content

Hereditary Choroidal Dystrophy

  • Chapter
  • First Online:
Inherited Retinal Disease
  • 535 Accesses

Abstract

Hereditary choroidal dystrophies include central areolar choroidal dystrophy, gyrate atrophy of the choroid and retina, choroideremia, etc. Although traditionally these conditions have been classified as choroidal dystrophies, the primary pathogenic process is thought to occur in the retinal pigment epithelium, not in the choroid. The underlying genetic causes result in the degeneration of both the RPE and choroid. In gyrate atrophy, dietary modifications to lower ornithine levels may slow the progression of chorioretinal atrophy and improve cystoid macular edema. For the treatment of choroideremia, clinical trial of gene therapy using adeno-associated viral vector encoding REP1 is currently underway.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Rafuse EV, McCulloch C. Choroideremia. A pathological report. Can J Ophthalmol. 1968;3:347–52.

    CAS  PubMed  Google Scholar 

  2. Rubin ML, Fishman RS, McKay RA. Choroideremia. Study of a family and literature review. Arch Ophthalmol. 1966;76:563–74.

    Article  CAS  Google Scholar 

  3. van den Hurk JA, Schwartz M, van Bokhoven H, van de Pol TJ, Bogerd L, Pinckers AJ, et al. Molecular basis of choroideremia (CHM): mutations involving the Rab escort protein-1 (REP-1) gene. Hum Mutat. 1997;9:110–7.

    Article  Google Scholar 

  4. Pennesi ME, Birch DG, Duncan JL, Bennett J, Girach A. CHOROIDEREMIA: retinal degeneration with an unmet need. Retina. 2019;39:2059–69.

    Article  CAS  Google Scholar 

  5. Jolly JK, Xue K, Edwards TL, et al. Characterizing the natural history of visual function in choroideremia using microperimetry and multimodal retinal imaging. Invest Ophthalmol Vis Sci. 2017;58:5575–83.

    Article  Google Scholar 

  6. Furgoch MJ, Mewes-Ares J, Radziwon A, Macdonald IM. Molecular genetic diagnostic techniques in choroideremia. Mol Vis. 2014;20:535–44.

    PubMed  PubMed Central  Google Scholar 

  7. Tolmachova T, Tolmachov OE, Barnard AR, et al. Functional expression of Rab escort protein 1 following AAV2-mediated gene delivery in the retina of choroideremia mice and human cells ex vivo. J Mol Med (Berl). 2013;91:825–37.

    Article  CAS  Google Scholar 

  8. MacLaren RE, Groppe M, Barnard AR, Cottriall CL, Tolmachova T, Seymour L, et al. Retinal gene therapy in patients with choroideremia: initial findings from a phase 1/2 clinical trial. Lancet. 2014;383:1129–37.

    Article  CAS  Google Scholar 

  9. Fischer MD, Ochakovski GA, Beier B, Seitz IP, Vaheb Y, Kortuem C, Reichel FFL, Kuehlewein L, Kahle NA, Peters T, Girach A, Zrenner E, Ueffing M, MacLaren RE, Bartz-Schmidt KU, Wilhelm B. Efficacy and safety of retinal gene therapy using adeno-associated virus vector for patients with choroideremia: a randomized clinical trial. JAMA Ophthalmol. 2019;137:1247–54.

    Article  Google Scholar 

  10. Lam BL, Davis JL, Gregori NZ, MacLaren RE, Girach A, Verriotto JD, Rodriguez B, Rosa PR, Zhang X, Feuer WJ. Choroideremia gene therapy phase 2 clinical trial: 24-month results. Am J Ophthalmol. 2019;197:65–73.

    Article  CAS  Google Scholar 

  11. Valle D, Kaiser-Kupfer MI, Del Valle LA. Gyrate atrophy of the choroid and retina: deficiency of ornithine aminotransferase in transformed lymphocytes. Proc Natl Acad Sci U S A. 1977;74:5159–61.

    Article  CAS  Google Scholar 

  12. Takki KK, Milton RC. The natural history of gyrate atrophy of the choroid and retina. Ophthalmology. 1981;88:292–301.

    Article  CAS  Google Scholar 

  13. Sergouniotis PI, Davidson AE, Lenassi E, Devery SR, Moore AT, Webster AR. Retinal structure, function, and molecular pathologic features in gyrate atrophy. Ophthalmology. 2012;119:596–605.

    Article  Google Scholar 

  14. Wilson DJ, Weleber RG, Green WR. Ocular clinicopathologic study of gyrate atrophy. Am J Ophthalmol. 1991;111:24–33.

    Article  CAS  Google Scholar 

  15. Kaiser-Kupfer MI, Caruso RC, Valle D. Gyrate atrophy of the choroid and retina. Long-term reduction of ornithine slows retinal degeneration. Arch Ophthalmol. 1991;109:1539–48.

    Article  CAS  Google Scholar 

  16. Kaiser-Kupfer MI, Caruso RC, Valle D. Gyrate atrophy of the choroid and retina: further experience with long-term reduction of ornithine levels in children. Arch Ophthalmol. 2002;120:146–53.

    Article  Google Scholar 

  17. Vannas-Sulonen K, Simell O, Sipilä I. Gyrate atrophy of the choroid and retina. The ocular disease progresses in juvenile patients despite normal or near normal plasma ornithine concentration. Ophthalmology. 1987;94:1428–33.

    Article  CAS  Google Scholar 

  18. Michaud J, Thompson GN, Brody LC, Steel G, Obie C, Fontaine G, Schappert K, Keith CG, Valle D, Mitchell GA. Pyridoxine-responsive gyrate atrophy of the choroid and retina: clinical and biochemical correlates of the mutation A226V. Am J Hum Genet. 1995;56:616–22.

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Heller D, Weiner C, Nasie I, Anikster Y, Landau Y, Koren T, Pokroy R, Abulafia A, Pras E. Reversal of cystoid macular edema in gyrate atrophy patients. Ophthalmic Genet. 2017;38:549–54.

    Article  CAS  Google Scholar 

  20. Salvatore S, Fishman GA, Genead MA. Treatment of cystic macular lesions in hereditary retinal dystrophies. Surv Ophthalmol. 2013;58:560–84.

    Article  Google Scholar 

  21. Boon CJ, Klevering BJ, Cremers FP, Zonneveld-Vrieling MN, Theelen T, Den Hollander AI, Hoyng CB. Central areolar choroidal dystrophy. Ophthalmology. 2009;116:771–82, 782.e1.

    Google Scholar 

  22. Hughes AE, Meng W, Lotery AJ, Bradley DT. A novel GUCY2D mutation, V933A, causes central areolar choroidal dystrophy. Invest Ophthalmol Vis Sci. 2012;53:4748–53.

    Article  CAS  Google Scholar 

  23. Hoyng CB, Deutman AF. The development of central areolar choroidal dystrophy. Graefes Arch Clin Exp Ophthalmol. 1996;234:87–93.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sang Jin Kim .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kim, S.J. (2022). Hereditary Choroidal Dystrophy. In: Yu, HG. (eds) Inherited Retinal Disease. Springer, Singapore. https://doi.org/10.1007/978-981-16-7337-5_16

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-7337-5_16

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-7336-8

  • Online ISBN: 978-981-16-7337-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics