Search
choroideremia; progressive choroidal atrophy; progressive tapetochoroidal dystrophy
Progressive deterioration of the choroid.
Epidemiology: generally males; occasionally females
Pathology:
1) begins with peripheral pigmentary retinopathy
2) later, atrophy of the retinal pigment epithelium & of the choriocapillaris (choroid)
3) heterozygous females show a pigmentary retinopathy, but without visual defect or peripheral progression
Genetics:
1) X-linked
2) mutation in rab escort protein-1 (REP1) gene on Xq
- REP2 substitutes for REP1 thereby preventing widespread tissue abnormalities in patients with choroideremia who lack REP1
Clinical manifestations:
1) night blindness
2) progressive constriction of the visual fields
3) eventually, complete blindness
General
genetic disease of the eye
X-linked disease
Database Correlations
OMIM 303100
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- OMIM :accession 303100