Oguchi disease masked by retinitis pigmentosa

Doc Ophthalmol. 2011 Oct;123(2):127-33. doi: 10.1007/s10633-011-9286-x. Epub 2011 Sep 16.

Abstract

The purpose of this study was to report a patient with Oguchi disease whose ophthalmological characteristics were masked by retinitis pigmentosa (RP). The method used in this study was case report. A 53-year-old man had a progressive decrease in his visual acuity and was diagnosed with RP because of night blindness, fundoscopic findings, ring scotoma, and extinguished single-flash electroretinograms (ERGs). However, a faint golden-yellowish reflex of the retina prompted us to make a more detailed examination of the fundus after a long period of dark adaptation, ERGs, and genetic analysis. Examinations showed the Mizuo-Nakamura phenomenon, relative intact photopic ERGs, and a SAG mutation, and the patient was diagnosed with RP associated with Oguchi disease. When RP accompanies Oguchi disease, the clinical characteristics of Oguchi disease might be masked. In such a situation, the correct diagnosis is difficult. However, careful analysis of clinical findings will suggest Oguchi disease, which can be confirmed by molecular genetics.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arrestin* / genetics
  • Arrestin* / metabolism
  • DNA* / genetics
  • Dark Adaptation / physiology*
  • Diagnosis, Differential
  • Electroretinography
  • Eye Diseases, Hereditary
  • Fluorescein Angiography
  • Fundus Oculi
  • G-Protein-Coupled Receptor Kinase 1* / genetics
  • G-Protein-Coupled Receptor Kinase 1* / metabolism
  • Genetic Predisposition to Disease
  • Humans
  • Male
  • Middle Aged
  • Night Blindness / complications
  • Night Blindness / diagnosis*
  • Night Blindness / genetics
  • Pedigree
  • Point Mutation*
  • Polymerase Chain Reaction
  • Retina / metabolism
  • Retina / pathology
  • Retina / physiopathology
  • Retinitis Pigmentosa / complications
  • Retinitis Pigmentosa / diagnosis*
  • Retinitis Pigmentosa / genetics
  • Tomography, Optical Coherence
  • Visual Fields

Substances

  • Arrestin
  • DNA
  • G-Protein-Coupled Receptor Kinase 1
  • GRK1 protein, human

Supplementary concepts

  • Oguchi disease