Posterior Polar Annular Choroidal Dystrophy: Genetic Insights and Differential Diagnosis in Inherited Retinal Diseases

Posterior polar annular choroidal dystrophy (PPACD) is a rare ocular disorder and presents as symmetric degeneration of the retinal pigment epithelium (RPE) and the underlying choriocapillaris, encircling the retinal vascular arcades and optic disc. This condition distinctively preserves the foveal...

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Main Authors: Francesco Ruggeri, Chiara Ciancimino, Antonio Guillot, Daniele Fumi, Federico Di Tizio, Serena Fragiotta, Solmaz Abdolrahimzadeh
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Current Issues in Molecular Biology
Subjects:
Online Access:https://www.mdpi.com/1467-3045/46/2/89
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author Francesco Ruggeri
Chiara Ciancimino
Antonio Guillot
Daniele Fumi
Federico Di Tizio
Serena Fragiotta
Solmaz Abdolrahimzadeh
author_facet Francesco Ruggeri
Chiara Ciancimino
Antonio Guillot
Daniele Fumi
Federico Di Tizio
Serena Fragiotta
Solmaz Abdolrahimzadeh
author_sort Francesco Ruggeri
collection DOAJ
description Posterior polar annular choroidal dystrophy (PPACD) is a rare ocular disorder and presents as symmetric degeneration of the retinal pigment epithelium (RPE) and the underlying choriocapillaris, encircling the retinal vascular arcades and optic disc. This condition distinctively preserves the foveal region, optic disc, and the outermost regions of the retina. Despite its distinct clinical presentation, due to the infrequency of its occurrence and the limited number of reported cases, the pathophysiology, and the genetic foundations of PPACD are still largely uncharted. This review aims to bridge this knowledge gap by investigating potential genetic contributors to PPACD, assessing current findings, and identifying genes that warrant further study. Emphasis is also placed on the crucial role of multimodal imaging in diagnosing PPACD, highlighting its importance in understanding disease pathophysiology. By analyzing existing case reports and drawing comparisons with similar retinal disorders, this paper endeavors to delineate the possible genetic correlations in PPACD, providing a foundation for future genetic research and the development of targeted diagnostic strategies.
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spelling doaj.art-ea5e93b7721b4eed8f6dad63aaa4ab412024-02-23T15:12:37ZengMDPI AGCurrent Issues in Molecular Biology1467-30371467-30452024-02-014621383139710.3390/cimb46020089Posterior Polar Annular Choroidal Dystrophy: Genetic Insights and Differential Diagnosis in Inherited Retinal DiseasesFrancesco Ruggeri0Chiara Ciancimino1Antonio Guillot2Daniele Fumi3Federico Di Tizio4Serena Fragiotta5Solmaz Abdolrahimzadeh6Ophthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, 00185 Roma, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, 00185 Roma, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, 00185 Roma, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, 00185 Roma, ItalySt. Andrea Hospital, Via di Grottarossa 1035/1039, 00189 Rome, ItalyUOC Ophthalmology, Department of Surgical Areas, S.M. Goretti Hospital, 04100 Latina, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, 00185 Roma, ItalyPosterior polar annular choroidal dystrophy (PPACD) is a rare ocular disorder and presents as symmetric degeneration of the retinal pigment epithelium (RPE) and the underlying choriocapillaris, encircling the retinal vascular arcades and optic disc. This condition distinctively preserves the foveal region, optic disc, and the outermost regions of the retina. Despite its distinct clinical presentation, due to the infrequency of its occurrence and the limited number of reported cases, the pathophysiology, and the genetic foundations of PPACD are still largely uncharted. This review aims to bridge this knowledge gap by investigating potential genetic contributors to PPACD, assessing current findings, and identifying genes that warrant further study. Emphasis is also placed on the crucial role of multimodal imaging in diagnosing PPACD, highlighting its importance in understanding disease pathophysiology. By analyzing existing case reports and drawing comparisons with similar retinal disorders, this paper endeavors to delineate the possible genetic correlations in PPACD, providing a foundation for future genetic research and the development of targeted diagnostic strategies.https://www.mdpi.com/1467-3045/46/2/89posterior polar annular choroidal dystrophymultimodal imagingspectral domain optic coherence tomographyretinal pigment epitheliuminherited retinal diseaseschoroideremia
spellingShingle Francesco Ruggeri
Chiara Ciancimino
Antonio Guillot
Daniele Fumi
Federico Di Tizio
Serena Fragiotta
Solmaz Abdolrahimzadeh
Posterior Polar Annular Choroidal Dystrophy: Genetic Insights and Differential Diagnosis in Inherited Retinal Diseases
Current Issues in Molecular Biology
posterior polar annular choroidal dystrophy
multimodal imaging
spectral domain optic coherence tomography
retinal pigment epithelium
inherited retinal diseases
choroideremia
title Posterior Polar Annular Choroidal Dystrophy: Genetic Insights and Differential Diagnosis in Inherited Retinal Diseases
title_full Posterior Polar Annular Choroidal Dystrophy: Genetic Insights and Differential Diagnosis in Inherited Retinal Diseases
title_fullStr Posterior Polar Annular Choroidal Dystrophy: Genetic Insights and Differential Diagnosis in Inherited Retinal Diseases
title_full_unstemmed Posterior Polar Annular Choroidal Dystrophy: Genetic Insights and Differential Diagnosis in Inherited Retinal Diseases
title_short Posterior Polar Annular Choroidal Dystrophy: Genetic Insights and Differential Diagnosis in Inherited Retinal Diseases
title_sort posterior polar annular choroidal dystrophy genetic insights and differential diagnosis in inherited retinal diseases
topic posterior polar annular choroidal dystrophy
multimodal imaging
spectral domain optic coherence tomography
retinal pigment epithelium
inherited retinal diseases
choroideremia
url https://www.mdpi.com/1467-3045/46/2/89
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