Shijo T, Fukui A, Sakurada Y, Terao N, Yoneyama S, Kusada N, Sugiyama A, Matsubara M, Fukuda Y, Kikushima W, Kotoda Y, Sotozono C, Kashiwagi K. Clinical and genetic characteristics of simple central serous chorioretinopathy according to age.
Ophthalmic Genet 2024:1-6. [PMID:
39523750 DOI:
10.1080/13816810.2024.2426559]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 04/30/2024] [Accepted: 11/03/2024] [Indexed: 11/16/2024]
Abstract
PURPOSE
To investigate whether genetic and clinical characteristics differ depending on generations using 326 patients (male/female, 259/67; mean age, 55.4 ± 12.5 years) with simple CSC.
METHODS
All patients were diagnosed with simple CSC, defined as a retinal pigment epithelium alteration area equal to or smaller than 2-disc areas based on multimodal imaging at the initial presentation. We cross-sectionally evaluated clinical characteristics at the initial visit and genotyped CFH rs800292 and rs1329428 for all patients using TaqMan technology.
RESULTS
As generations decreased, the proportion of males, subfoveal choroidal thickness, and prevalence of fibrin significantly increased (p < 0.001, p < 0.001, and p = 0.012, respectively), and the best-corrected visual acuity improved (p < 0.001); in contrast, the prevalence of pachydrusen significantly decreased (p < 0.001). The younger presentation was significantly associated with male and risk variants (T allele) of CFH rs1329428 (p = 9.1 × 10-7 and p = 0.042, respectively), and patients were estimated to present 2 years younger per one T allele of CFH rs1329428 (p = 0.042, β = -1.95, stepwise regression analysis).
CONCLUSION
Clinical and genetic characteristics differed significantly among patients with simple CSC, depending on their generation.
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