Rating P, Stöhr H, Neuhaus C, Schaperdoth-Gerlings B, Böhm M R R, Freimuth M-A, Bechrakis N E
Klinik für Augenheilkunde, Universitätsklinikum Essen, Hufelandstr. 55, 45122, Essen, Deutschland.
Institut für Humangenetik, Universität Regensburg, Regensburg, Deutschland.
Ophthalmologe. 2019 Dec;116(12):1207-1211. doi: 10.1007/s00347-019-0886-2.
This article presents the case of a young male patient with complete congenital stationary night blindness (CSNB1). The informative value of the general medical history and clinical findings for the diagnosis was impaired due to language barriers and low compliance. Full-field electroretinography and optical coherence tomography help to define particular hereditary retinal dystrophies. Molecular genetic analysis by next generation sequencing as a part of multimodal diagnostics finally uncovered a rare, causal missense mutation in the nyctalopin (NYX) gene.
本文介绍了一名患有完全性先天性静止性夜盲症(CSNB1)的年轻男性患者的病例。由于语言障碍和依从性差,一般病史和临床检查结果对诊断的参考价值受到影响。全视野视网膜电图和光学相干断层扫描有助于明确特定的遗传性视网膜营养不良。作为多模态诊断的一部分,通过下一代测序进行分子遗传学分析最终发现了nyctalopin(NYX)基因中一种罕见的致病性错义突变。