@article {2043, title = {Chorioretinal atrophy following voretigene neparvovec despite the presence of fundus autofluorescence.}, journal = {Mol Genet Genomic Med}, volume = {10}, year = {2022}, month = {2022 Nov}, pages = {e2038}, abstract = {

INTRODUCTION: Leber congenital amaurosis (LCA) type 2, due to disease-causing variants in RPE65, is characterized by severe visual loss in early infancy. Current treatments include voretigene neparvovec-rzyl (VN) for RPE65-associated LCA. Herein, we present the long-term follow-up of a patient treated with VN using quantitative autofluorescence (488\ nm excitation).

CASE REPORT: A 9-year-old girl with a diagnosis of LCA with biallelic variants in RPE65 presented for evaluation. The patient underwent VN treatment at the age of 11. The patient returned to clinic at age of 19 at which time imaging revealed evidence of chorioretinal atrophy. Quantitative autofluorescence performed prior to gene therapy and at 6- and 8-year follow-up revealed a central area of fundus autofluorescence.

DISCUSSION: This case report demonstrates acquisition of fundus autofluorescence at 6- and 8-year follow-up despite the development of chorioretinal atrophy.

}, keywords = {Atrophy, Child, cis-trans-Isomerases, Female, Humans, Leber Congenital Amaurosis, Mutation, Retinal Degeneration}, issn = {2324-9269}, doi = {10.1002/mgg3.2038}, author = {Kolesnikova, Masha and Lima de Carvalho, Jose Ronaldo and Parmann, Rait and Kim, Angela H and Mahajan, Vinit B and Tsang, Stephen H and Sparrow, Janet R} }