Journals / İstanbul Kuzey Klinikleri / 2021 / Cilt: 8 - Sayı: 5

case of Bietti crystalline dystrophy with clinical, electrophysiological, and imaging findings

Pages
521–524
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We diagnosed this case as Bietti’s crystalline dystrophy which is a rare disease with genetic inheritance that must be considered in the differential diagnosis in countries in which consanguineous marriage is often.

📌 3 Key Takeaways

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Objective & Hypothesis:In this study, ophthalmologic examination findings, fundus fluorescein angiography, optic coherence tomography (OCT), visual field testing, electrophysiological, and systemic laboratory findings of a 43-year-old female patient who presented with blurry vision and who had retinal and corneal deposits were examined.
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Key Findings & Data:Our patients’ best-corrected visual acuity was 0.9 bilaterally.
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Conclusion & Impact:We diagnosed this case as Bietti’s crystalline dystrophy which is a rare disease with genetic inheritance that must be considered in the differential diagnosis in countries in which consanguineous marriage is often.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In this study, ophthalmologic examination findings, fundus fluorescein angiography, optic coherence tomography (OCT), visual field testing, electrophysiological, and systemic laboratory findings of a 43-year-old female patient who presented with blurry vision and who had retinal and corneal deposits were examined. Our patients’ best-corrected visual acuity was 0.9 bilaterally. Her anterior segments and intraocular pressures were bilaterally normal. Fundus examination revealed bilateral glistening yellowish intraretinal crystalline deposits in the posterior pole and midperipheral retina. The electroretinographic examination revealed a decrease in scotopic and photopic a and b wave amplitudes. Corneal and intraretinal glistening crystalloid deposits were observed in the OCT. Our patient and her husband were relatives. Her sister’s, brother’s, and children’s OCT also revealed bilateral corneal and intraretinal crystalloid deposits. We diagnosed this case as Bietti’s crystalline dystrophy which is a rare disease with genetic inheritance that must be considered in the differential diagnosis in countries in which consanguineous marriage is often.

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Cite This Article

Kurna, S. A., Garli, M. (2022). case of Bietti crystalline dystrophy with clinical, electrophysiological, and imaging findings. İstanbul Kuzey Klinikleri, Cilt: 8 - Sayı: 5, 521–524. https://ajindex.com/articles/551266

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References (12)

  1. Harrison RJ, Acheson RR, Dean-Hart JC. Bietti’s tapetoretinal degeneration with marginal corneal dystrophy (crystalline retinopathy): case report. Br J Ophthalmol 1987;71:220–3
  2. Richards BW, Brodstein DE, Nussbaum JJ, Ferencz JR, Maeda K, Weiss L. Autosomal dominant crystalline dystrophy. Ophthalmology 1991;98:658–65
  3. Wilson DJ, Weleber RG, Klein ML, Welch RB, Green WR. Bietti’s crystalline dystrophy. A clinicopathologic correlative study. Arch Ophthalmol 1989;107:213–21
  4. Nadim F, Walid H, Adib J. The differential diagnosis of crystals in the retina. Int Ophthalmol 2001;24:113–21
  5. Meyer CH, Rodrigues EB, Mennel S, Schmidt JC. Optical coherence tomography in a case of Bietti’s crystalline dystrophy. Acta Ophthalmol Scand 2004;82:609–12
  6. Querques G, Quijano C, Bouzitou-Mfoumou R, Soubrane G, Souied EH. In-vivo visualization of retinal crystals in Bietti’s crystalline dystrophy by spectral domain optical coherence tomography. Ophthalmic Surg Lasers Imaging 2010:1–3
  7. Karaçorlu SA, Özdemir H,Şentürk F. Bietti’nin kristalin retinopatisinde optik koherens tomografi. MN Oftalmol 2006;13:148–50
  8. Lee J, Jiao X, Hejtmancik JF, Kaiser-Kupfer M, Gahl WA, Markello TC, et al. The metabolism of fatty acids in human Bietti crystalline dystrophy. Invest Ophthalmol Vis Sci 2001;42:1707–14
  9. Kaiser-Kupfer MI, Chan CC, Markello TC, Crawford MA, Caruso RC, Csaky KG, et al. Clinical biochemical and pathologic correlations in Bietti’s crystalline dystrophy. Am J Ophthalmol 1994;118:569–82
  10. Özkırış A, Öner A, Evereklioğlu C, Erkılıç K, Mirza E, Doğan H. A comparison of electroretinographic values of patients with Bietti’s crystalline dystrophy with normal individuals. Erciyes Med J 2004;26:113– 8
  11. Li A, Jiao X, Munier FL, Schorderet DF, Yao W, Iwata F, et al. Bietti crystalline corneoretinal dystrophy is caused by mutations in the novel gene CYP4V2. Am J Hum Genet 2004;74:817–26
  12. Harrison RJ, Acheson RR, Dean-Hart JC. Bietti’s tapetoretinal degeneration with marginal corneal dystrophy (crystalline retinopathy): case report. Br J Ophthalmol 1987;71:220–3.