Drusenoid Pigment Epithelial Detachment: Genetic and Clinical Characteristics

Few studies report drusenoid pigment epithelial detachment (DPED) in Asians. In this multicenter study, we report the clinical and genetic characteristics of 76 patients with DPED, and, for comparison, 861 patients with exudative age-related macular degeneration (AMD) were included. On the initial p...

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Main Authors: Taiyo Shijo, Yoichi Sakurada, Koji Tanaka, Akiko Miki, Seigo Yoneyama, Yumiko Machida, Aya Chubachi, Yu Wakatsuki, Atsushi Sugiyama, Hajime Onoe, Wataru Kikushima, Ryusaburo Mori, Kenji Kashiwagi
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/22/8/4074
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author Taiyo Shijo
Yoichi Sakurada
Koji Tanaka
Akiko Miki
Seigo Yoneyama
Yumiko Machida
Aya Chubachi
Yu Wakatsuki
Atsushi Sugiyama
Hajime Onoe
Wataru Kikushima
Ryusaburo Mori
Kenji Kashiwagi
author_facet Taiyo Shijo
Yoichi Sakurada
Koji Tanaka
Akiko Miki
Seigo Yoneyama
Yumiko Machida
Aya Chubachi
Yu Wakatsuki
Atsushi Sugiyama
Hajime Onoe
Wataru Kikushima
Ryusaburo Mori
Kenji Kashiwagi
author_sort Taiyo Shijo
collection DOAJ
description Few studies report drusenoid pigment epithelial detachment (DPED) in Asians. In this multicenter study, we report the clinical and genetic characteristics of 76 patients with DPED, and, for comparison, 861 patients with exudative age-related macular degeneration (AMD) were included. On the initial presentation, the mean best-corrected visual acuity was 0.087 ± 0.17 (logMAR unit), and mean DPED height and width were 210 ± 132 and 1633 ± 1114 µm, respectively. Fifty-one (67%) patients showed macular neovascularization in the contralateral eye. The risk allele frequency of both <i>ARMS2</i> A69S and <i>CFH</i> I62V was significantly higher in DPED than in typical AMD and polypoidal choroidal vasculopathy (PCV) (<i>ARMS2</i> A69S risk allele frequency: DPED 77% vs. typical AMD 66% vs. PCV 57%, <i>CFH</i> I62V risk allele frequency: DPED 87% vs. typical AMD 73% vs. PCV 73%), although the risk allele frequency of both genes was similar between the DPED group and retinal angiomatous proliferation (RAP) group (<i>ARMS2</i> A69S: <i>p</i> = 0.32, <i>CFH</i> I62V, <i>p</i> = 0.11). The prevalence of reticular pseudodrusen (RPD) was highest in RAP (60%), followed by DPED (22%), typical AMD (20%), and PCV (2%). Although the prevalence of RPD differs between DPED and RAP, these entities share a similar genetic background in terms of <i>ARMS2</i> and <i>CFH</i> genes.
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spelling doaj.art-05081be9d50a45a3a8550eb8dd84d5842023-12-03T13:03:05ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-04-01228407410.3390/ijms22084074Drusenoid Pigment Epithelial Detachment: Genetic and Clinical CharacteristicsTaiyo Shijo0Yoichi Sakurada1Koji Tanaka2Akiko Miki3Seigo Yoneyama4Yumiko Machida5Aya Chubachi6Yu Wakatsuki7Atsushi Sugiyama8Hajime Onoe9Wataru Kikushima10Ryusaburo Mori11Kenji Kashiwagi12 Departments of Ophthalmology, Faculty of Medicine, University of Yamanashi, Kofu 400-8510, Japan Departments of Ophthalmology, Faculty of Medicine, University of Yamanashi, Kofu 400-8510, Japan Department of Ophthalmology, Nihon University School of Medicine, Tokyo 173-8610, Japan Department of Surgery, Division of Ophthalmology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan Departments of Ophthalmology, Faculty of Medicine, University of Yamanashi, Kofu 400-8510, Japan Department of Ophthalmology, Nihon University School of Medicine, Tokyo 173-8610, Japan Department of Surgery, Division of Ophthalmology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan Department of Ophthalmology, Nihon University School of Medicine, Tokyo 173-8610, Japan Departments of Ophthalmology, Faculty of Medicine, University of Yamanashi, Kofu 400-8510, Japan Department of Ophthalmology, Nihon University School of Medicine, Tokyo 173-8610, Japan Departments of Ophthalmology, Faculty of Medicine, University of Yamanashi, Kofu 400-8510, Japan Department of Ophthalmology, Nihon University School of Medicine, Tokyo 173-8610, Japan Departments of Ophthalmology, Faculty of Medicine, University of Yamanashi, Kofu 400-8510, JapanFew studies report drusenoid pigment epithelial detachment (DPED) in Asians. In this multicenter study, we report the clinical and genetic characteristics of 76 patients with DPED, and, for comparison, 861 patients with exudative age-related macular degeneration (AMD) were included. On the initial presentation, the mean best-corrected visual acuity was 0.087 ± 0.17 (logMAR unit), and mean DPED height and width were 210 ± 132 and 1633 ± 1114 µm, respectively. Fifty-one (67%) patients showed macular neovascularization in the contralateral eye. The risk allele frequency of both <i>ARMS2</i> A69S and <i>CFH</i> I62V was significantly higher in DPED than in typical AMD and polypoidal choroidal vasculopathy (PCV) (<i>ARMS2</i> A69S risk allele frequency: DPED 77% vs. typical AMD 66% vs. PCV 57%, <i>CFH</i> I62V risk allele frequency: DPED 87% vs. typical AMD 73% vs. PCV 73%), although the risk allele frequency of both genes was similar between the DPED group and retinal angiomatous proliferation (RAP) group (<i>ARMS2</i> A69S: <i>p</i> = 0.32, <i>CFH</i> I62V, <i>p</i> = 0.11). The prevalence of reticular pseudodrusen (RPD) was highest in RAP (60%), followed by DPED (22%), typical AMD (20%), and PCV (2%). Although the prevalence of RPD differs between DPED and RAP, these entities share a similar genetic background in terms of <i>ARMS2</i> and <i>CFH</i> genes.https://www.mdpi.com/1422-0067/22/8/4074drusenoid pigment epithelial detachment<i>ARMS2</i><i>CFH</i>reticular pseudodrusen
spellingShingle Taiyo Shijo
Yoichi Sakurada
Koji Tanaka
Akiko Miki
Seigo Yoneyama
Yumiko Machida
Aya Chubachi
Yu Wakatsuki
Atsushi Sugiyama
Hajime Onoe
Wataru Kikushima
Ryusaburo Mori
Kenji Kashiwagi
Drusenoid Pigment Epithelial Detachment: Genetic and Clinical Characteristics
International Journal of Molecular Sciences
drusenoid pigment epithelial detachment
<i>ARMS2</i>
<i>CFH</i>
reticular pseudodrusen
title Drusenoid Pigment Epithelial Detachment: Genetic and Clinical Characteristics
title_full Drusenoid Pigment Epithelial Detachment: Genetic and Clinical Characteristics
title_fullStr Drusenoid Pigment Epithelial Detachment: Genetic and Clinical Characteristics
title_full_unstemmed Drusenoid Pigment Epithelial Detachment: Genetic and Clinical Characteristics
title_short Drusenoid Pigment Epithelial Detachment: Genetic and Clinical Characteristics
title_sort drusenoid pigment epithelial detachment genetic and clinical characteristics
topic drusenoid pigment epithelial detachment
<i>ARMS2</i>
<i>CFH</i>
reticular pseudodrusen
url https://www.mdpi.com/1422-0067/22/8/4074
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