Evidence map›Paper›PMID 27287821›Full record

Observational studyAmerican journal of ophthalmology2016

Unilateral BEST1-Associated Retinopathy.

Rashi Arora, Kamron Khan, Melissa L Kasilian, Rupert W Strauss, Graham E Holder, Anthony G Robson, Dorothy A Thompson, Anthony T Moore, Michel Michaelides

Abstract readCase ReportsObservational Study
In one paragraph

Observational study in American journal of ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Review
  2. Gene Therapy Strategies for the Treatment of Bestrophinopathies.International journal of molecular sciences · 2025
    Review
  3. Unilateral best vitelliform macular dystrophy- a case series.Documenta ophthalmologica. Advances in ophthalmology · 2025
    Article
  4. Article
  5. Observational
  6. American journal of ophthalmology case reports · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Variable expressivity ofBMJ open ophthalmology · 2021
    Article
  12. Review
  13. Multimodal Imaging in Best Vitelliform Macular Dystrophy.Investigative ophthalmology & visual science · 2019
    Article
  14. Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  15. Article
  16. Article
  17. Juvenile Macular Degenerations.Seminars in pediatric neurology · 2017
    Review
  18. Bestrophin 1 and retinal disease.Progress in retinal and eye research · 2017
    Review
  19. Article
  20. Gene therapy in bestrophinopathies: Insights from preclinical studies in preparation for clinical trials.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Rashi AroraMoorfields Eye Hospital, London, United Kingdom; Salisbury District Hospital, Salisbury, United Kingdom.
Kamron KhanMoorfields Eye Hospital, London, United Kingdom; University College London Institute of Ophthalmology, London, United Kingdom.
Melissa L KasilianMoorfields Eye Hospital, London, United Kingdom; University College London Institute of Ophthalmology, London, United Kingdom.
Rupert W StraussMoorfields Eye Hospital, London, United Kingdom; University College London Institute of Ophthalmology, London, United Kingdom.
Graham E HolderMoorfields Eye Hospital, London, United Kingdom.
Anthony G RobsonMoorfields Eye Hospital, London, United Kingdom.
Dorothy A ThompsonGreat Ormond Street Hospital, London, United Kingdom.
Anthony T MooreMoorfields Eye Hospital, London, United Kingdom; University College London Institute of Ophthalmology, London, United Kingdom; Department of Ophthalmology, University of California San Francisco School of Medicine, San Francisco, California.
Michel MichaelidesMoorfields Eye Hospital, London, United Kingdom; University College London Institute of Ophthalmology, London, United Kingdom. Electronic address: michel.michaelides@ucl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe a series of patients with molecularly confirmed mutation in BEST1 causing Best disease but with unilateral clinical manifestation.

designRetrospective observational case series.

methods

settingMoorfields Eye Hospital and Great Ormond Street Hospital, London (United Kingdom). PATIENTS: Five patients (10 eyes) with uniocular manifestation of BEST1 mutation causing Best disease were ascertained retrospectively from the clinical and genetic databases.

main outcome measuresPatients had full ophthalmologic examination, color fundus photography, fundus autofluorescence imaging, spectral-domain optical coherence tomography, and detailed electrophysiological assessment. Genetic testing was performed.

resultsAll cases had a clinical appearance typical of and consistent with Best disease at various stages, except that the presentation was unilateral. The reduced electrooculogram light rise was bilateral and in the context of normal electroretinograms therefore indicates generalized dysfunction at the level of the retinal pigment epithelium.

conclusionsMutation in BEST1 has variable penetrance and expressivity, and can be uniocular. The clinical and electrophysiological features described assist targeted mutational screening and alert to the potential diagnosis even when there is an atypical unilateral presentation.

Indexed as

MutationAdolescentAdultBestrophinsChildChloride ChannelsElectrooculographyElectroretinographyExonsEye ProteinsFemaleFluorescein AngiographyHumansMalePolymerase Chain ReactionRetrospective StudiesBEST1 protein, humanBestrophinsChloride ChannelsEye Proteins

Identifiers

PMID27287821
PMCPMC5016077

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Registered trials

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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 OpenQuestion graph.