The Role of the Choroid in Stargardt Disease

Stargardt disease is the commonest juvenile macular dystrophy. It is caused by genetic mutations in the ABCA4 gene. Diagnosis is not always straightforward, and various phenocopies exist. Late-onset disease can be misdiagnosed with age-related macular disease. A correct diagnosis is particularly cri...

Full description

Bibliographic Details
Main Authors: Solmaz Abdolrahimzadeh, Martina Formisano, Mariachiara Di Pippo, Manuel Lodesani, Andrew John Lotery
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/14/7607
_version_ 1797446557115613184
author Solmaz Abdolrahimzadeh
Martina Formisano
Mariachiara Di Pippo
Manuel Lodesani
Andrew John Lotery
author_facet Solmaz Abdolrahimzadeh
Martina Formisano
Mariachiara Di Pippo
Manuel Lodesani
Andrew John Lotery
author_sort Solmaz Abdolrahimzadeh
collection DOAJ
description Stargardt disease is the commonest juvenile macular dystrophy. It is caused by genetic mutations in the ABCA4 gene. Diagnosis is not always straightforward, and various phenocopies exist. Late-onset disease can be misdiagnosed with age-related macular disease. A correct diagnosis is particularly critical because of emergent gene therapies. Stargardt disease is known to affect retinal pigment epithelium and photoreceptors. Many studies have also highlighted the importance of the choroid in the diagnosis, pathophysiology, and progression of the disease. The choroid is in an integral relationship with the retinal pigment epithelium and photoreceptors, and its possible involvement during the disease should be considered. The purpose of this review is to analyze the current diagnostic tools for choroidal evaluation and the extrapolation of useful data for ophthalmologists and researchers studying the disease.
first_indexed 2024-03-09T13:43:12Z
format Article
id doaj.art-594d399112064754b8a4fa01f241df6d
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-09T13:43:12Z
publishDate 2022-07-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-594d399112064754b8a4fa01f241df6d2023-11-30T21:04:07ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-07-012314760710.3390/ijms23147607The Role of the Choroid in Stargardt DiseaseSolmaz Abdolrahimzadeh0Martina Formisano1Mariachiara Di Pippo2Manuel Lodesani3Andrew John Lotery4Ophthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, 00185 Rome, ItalySt. Maria della Misericordia Hospital, Viale Tre Martiri 140, 45100 Rovigo, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, 00185 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, 00185 Rome, ItalyClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UKStargardt disease is the commonest juvenile macular dystrophy. It is caused by genetic mutations in the ABCA4 gene. Diagnosis is not always straightforward, and various phenocopies exist. Late-onset disease can be misdiagnosed with age-related macular disease. A correct diagnosis is particularly critical because of emergent gene therapies. Stargardt disease is known to affect retinal pigment epithelium and photoreceptors. Many studies have also highlighted the importance of the choroid in the diagnosis, pathophysiology, and progression of the disease. The choroid is in an integral relationship with the retinal pigment epithelium and photoreceptors, and its possible involvement during the disease should be considered. The purpose of this review is to analyze the current diagnostic tools for choroidal evaluation and the extrapolation of useful data for ophthalmologists and researchers studying the disease.https://www.mdpi.com/1422-0067/23/14/7607Stargardt diseaseretinal dystrophyspectral domain optical coherence tomographychoroidal vascularity indexchoriocapillaris vascular densitychoroidal thickness
spellingShingle Solmaz Abdolrahimzadeh
Martina Formisano
Mariachiara Di Pippo
Manuel Lodesani
Andrew John Lotery
The Role of the Choroid in Stargardt Disease
International Journal of Molecular Sciences
Stargardt disease
retinal dystrophy
spectral domain optical coherence tomography
choroidal vascularity index
choriocapillaris vascular density
choroidal thickness
title The Role of the Choroid in Stargardt Disease
title_full The Role of the Choroid in Stargardt Disease
title_fullStr The Role of the Choroid in Stargardt Disease
title_full_unstemmed The Role of the Choroid in Stargardt Disease
title_short The Role of the Choroid in Stargardt Disease
title_sort role of the choroid in stargardt disease
topic Stargardt disease
retinal dystrophy
spectral domain optical coherence tomography
choroidal vascularity index
choriocapillaris vascular density
choroidal thickness
url https://www.mdpi.com/1422-0067/23/14/7607
work_keys_str_mv AT solmazabdolrahimzadeh theroleofthechoroidinstargardtdisease
AT martinaformisano theroleofthechoroidinstargardtdisease
AT mariachiaradipippo theroleofthechoroidinstargardtdisease
AT manuellodesani theroleofthechoroidinstargardtdisease
AT andrewjohnlotery theroleofthechoroidinstargardtdisease
AT solmazabdolrahimzadeh roleofthechoroidinstargardtdisease
AT martinaformisano roleofthechoroidinstargardtdisease
AT mariachiaradipippo roleofthechoroidinstargardtdisease
AT manuellodesani roleofthechoroidinstargardtdisease
AT andrewjohnlotery roleofthechoroidinstargardtdisease