Evidence map›Paper›PMID 41700794›Full record

ArticleTranslational vision science & technology2026

Clinical and Molecular Characteristics of Foveal Sparing Phenotype in Chinese Patients With Inherited Retinal Diseases.

Zilin Wang, Tong Li, Jieqiong Chen, Yiqing Sun, Huixun Jia, Junran Sun, Xiaodong Sun

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Article in Translational vision science & technology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zilin WangDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong, University School of Medicine, Shanghai, People's Republic of China.
Tong LiDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong, University School of Medicine, Shanghai, People's Republic of China.
Jieqiong ChenDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong, University School of Medicine, Shanghai, People's Republic of China.
Yiqing SunEberly College of Science, Penn State University, University Park, State College, PA, USA.
Huixun JiaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong, University School of Medicine, Shanghai, People's Republic of China.
Junran SunDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong, University School of Medicine, Shanghai, People's Republic of China.
Xiaodong SunDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong, University School of Medicine, Shanghai, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to evaluate the clinical characteristics of the foveal sparing phenotype among patients with inherited retinal diseases (IRDs) and to identify the predictive imaging markers for visual prognosis. Methods: Consecutive patients with definitive clinical and genetic diagnoses of IRD who first visited our clinic from November 2021 to December 2022 and had high-quality spectral-domain optical coherence tomography (SD-OCT) images were included in this retrospective cohort. The foveal sparing phenotype was defined by foveal preservation on autofluorescence (FAF) and OCT images. Best-corrected visual acuity (BCVA) and dimensions of residual structures of outer retinal layers on OCT and FAF images were measured and analyzed. Spearman correlation analysis was performed to evaluate the correlation between retinal imaging features and BCVA. Receiver operating characteristic (ROC) curve was performed to assess the predictive performance of residual ellipsoid zone (EZ) area on OCT. Results: A total of 601 eyes of 308 Chinese patients with IRD were enrolled. Foveal sparing phenotype was observed in 195 (32.4%) eyes of 105 (34.1%) patients. There were 46.7% of cases with USH2A-related retinopathy and 76.9% EYS-related retinopathy presented foveal sparing phenotype, whereas their structural integrity showed no significant difference. Spearman correlation analyses revealed significant association between residual EZ area (P < 0.01) and BCVA. ROC curve analysis demonstrated that the residual EZ area at initial diagnosis could predict the degree of BCVA deterioration within 2 years (area under the curve [AUC] = 0.70). Conclusions: Our findings indicate that the foveal sparing phenotype is associated with better visual prognosis and is more frequently observed in IRDs associated with EYS and USH2A mutations. The residual EZ area on OCT can serve as a predictor of the timeframe for central vision deterioration to blindness in patients with IRD. Translational Relevance: Residual EZ area on OCT can serve as a predictive biomarker to support clinical decision making in monitoring and managing the progression of IRD.

Indexed as

Fovea CentralisRetinal DiseasesAdolescentAdultChildChinaEast Asian PeopleFemaleFluorescein AngiographyHumansMaleMiddle AgedPhenotypePrognosisRetrospective StudiesROC Curve

Identifiers

PMID41700794
PMCPMC12922713

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.