Abstract
Purpose
To assess the functional integrity of the retinal pigment epithelium and outer retina in choroideremia (CHM) carriers with confirmed mutations in the REP-1 gene, by recording the EOG.
Methods
The visual function of 17 choroideremia carriers ages 25–61 was assessed by determining their Snellen visual acuity and by recording the Arden ratio of the EOG. The 15 exons of the CHM gene were PCR-amplified from DNA from each of the carriers and their sequences were compared to the normal sequence to identify mutations.
Results
The 17 CHM carriers had normal logMAR visual acuity (average of 0.07: Snellen equivalent of 20/25; with no acuities lower than 20/40). The average of the Arden ratio recorded from the 17 carriers was 2.71, which is not significantly different from the average value of 2.46 recorded in our lab. Fundus examination revealed mottled areas of chorioretinal degeneration consistent with the carrier status of CHM. Mutations in the CHM gene were identified in all CHM carriers by sequencing.
Conclusions
Whereas clinical observation suggests that progressive fundus changes are present in female carriers, these carriers do not show a change in the Arden ratio of the EOG over the ages studied (25–61 years).
Similar content being viewed by others
Abbreviations
- CHM:
-
Choroideremia
- GTPases:
-
Guanosine triphosphatases
- PCR:
-
Polymerase chain reaction
- REP-1:
-
Rab escort protein-1
References
Karna J (1986) Choroideremia. A clinical and genetic study of 84 Finnish patients and 126 female carriers. Acta Ophthalmol Suppl 176:1–68
Sieving PA, Niffenegger JH, Berson EL (1986) Electroretinographic findings in selected pedigrees with choroideremia. Am J Ophthalmol 101(3):361–367
van Bokhoven H, van den Hurk JA, Bogerd L, Philippe C, Gilgenkrantz S, de Jong P, Ropers HH, Cremers FP (1994) Cloning and characterization of the human choroideremia gene. Hum Mol Genet 3(7):1041–1046
van Bokhoven H, Schwartz M, Andreasson S, van den Hurk JA, Bogerd L, Jay M, Ruther K, Jay B, Pawlowitzki IH, Sankila EM et al (1994) Mutation spectrum in the CHM gene of Danish and Swedish choroideremia patients. Hum Mol Genet 3(7):1047–1051
McTaggart KE, Tran M, Mah DY, Lai SW, Nesslinger NJ, MacDonald IM (2002) Mutational analysis of patients with the diagnosis of choroideremia. Hum Mutat 20(3):189–196
Alory C, Balch WE (2001) Organization of the Rab-GDI/CHM superfamily: the functional basis for choroideremia disease. Traffic 2(8):532–543
Ghosh M, McCulloch C, Parker JA (1988) Pathological study in a female carrier of choroideremia. Can J Ophthalmol 23:181–186
Flannery JG, Bird AC, Farber DB, Weleber RG, Bok D (1990) A histopathologic study of a choroideremia carrier. Invest Ophthalmol Vis Sci 31(2):229–236
MacDonald IM, Chen MH, Addison DJ, Mielke BW, Nesslinger NJ (1997) Histopathology of the retinal pigment epithelium of a female carrier of choroideremia. Can J Ophthalmol 32(5):329–333
Ponte F, Anastasi M, Cillino S (1986) Clinical patterns and electrophysiological findings in retinal pigment epithelium diseases. Does a correlation exist? Doc Ophthalmol 62:73–79
Arden GB, Constable PA (2006) The electro-oculogram. Prog Retin Eye Res 25(2):207–248
Brown M, Marmor M, Vaegan, Zrenner E, Brigell M, Bach M (2006) ISCEV standard for clinical electro-oculography (EOG) 2006. Doc Ophthalmol 113(3):205–212 Epub 2006 Nov 16
Pinckers A, van Aarem A, Brink H (1994) The electrooculogram in heterozygote carriers of Usher syndrome, retinitis pigmentosa, neuronal ceroid lipofuscinosis, senior syndrome and choroideremia. Ophthalmic Genet 15(1):25–30
Gallemore RP, Griff ER, Steinberg RH (1988) Evidence in support of a photoreceptoral origin for the “light-peak substance”. Invest Ophthalmol Vis Sci 29(4):566–571
Tolmachova T, Anders R, Abrink M, Bugeon L, Dallman MJ, Futter CE, Ramalho JS, Tonagel F, Tanimoto N, Seeliger MW, Huxley C, Seabra MC (2006) Independent degeneration of photoreceptors and retinal pigment epithelium in conditional knockout mouse models of choroideremia. J Clin Invest 116:386–394
Cheung MC, Nune GC, Wang M, McTaggart KE, MacDonald IM, Duncan JL (2004) Detection of localized retinal dysfunction in a choroideremia carrier. Am J Ophthalmol 137:189–191
Acknowledgements
We are grateful for the skillful technical support of Peggy Kaminski in helping to record the electro-oculograms. This study was supported in part by grant from the Foundation Fighting Blindness, USA.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yau, R.J., Sereda, C.A., McTaggart, K.E. et al. Choroideremia carriers maintain a normal electro-oculogram (EOG). Doc Ophthalmol 114, 147–151 (2007). https://doi.org/10.1007/s10633-007-9050-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10633-007-9050-4