Evidence map›Paper›PMID 40877827›Full record

Observational studyBMC medical genomics2025

Inherited retinal diseases in Kentucky: diagnostic yield, gene variants, and novel mutations in a U.S. population.

Nicholas Demas, Cesar Estrada, Paula Morales, Mitchell Jacobs, John Kitchens, Andrew Pearson, Ramiro Maldonado

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC medical genomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06177977 (Ultracompact Hand-Held Swept-Source Optical Coherence Tomography), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06177977 narecruitingnot on this map

Ultracompact Hand-Held Swept-Source Optical Coherence Tomography (SS-HH-OCT) as a Novel Diagnostic Modality for Early-Onset Retinal Dystrophies (EORDs)

TypeinterventionalSponsorDuke UniversityRan2024 to 2026Enrolled80ConditionsRetinal DystrophiesArmsSS-HH-OCT
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nicholas DemasDepartment of Ophthalmology, University of Kentucky, Lexington, KY, USA.
Cesar EstradaDepartment of Ophthalmology, Duke University, 2351 Erwin Rd, Durham, NC, 27710, USA.
Paula MoralesDepartment of Ophthalmology, Duke University, 2351 Erwin Rd, Durham, NC, 27710, USA.
Mitchell JacobsDepartment of Ophthalmology, University of Kentucky, Lexington, KY, USA.
John KitchensDepartment of Ophthalmology, University of Kentucky, Lexington, KY, USA.
Andrew PearsonDepartment of Ophthalmology, University of Kentucky, Lexington, KY, USA.
Ramiro MaldonadoDepartment of Ophthalmology, Duke University, 2351 Erwin Rd, Durham, NC, 27710, USA. ramiro.maldonado@duke.edu.

Funding

Foundation for Fighting Blindness BR-CL-0623-0857
6 · The paper itself

Abstract

backgroundInherited retinal diseases (IRDs) are a group of heterogeneous conditions leading to visual impairment and blindness with over 280 associated genes identified so far. This study aims to provide an initial characterization of the clinical and genetic landscape of IRDs in the United States with a cohort from Kentucky and contribute to the existing knowledge from studies in other regions.

methodsThis single-academic center retrospective analysis was conducted on patients seen at the University of Kentucky Ophthalmic Genetic Services from January 2019 to March 2022 with a diagnosis of or concern for unspecified IRD and who underwent subsequent genetic testing with an IRD panel.

resultsThe study included 366 subjects with a pre-genetic testing IRD diagnosis, with an age range from 9 to 87 years old and mean age of 42.11 years. The most common pre-genetic diagnoses were retinitis pigmentosa (RP) in 116 subjects (31.69%), referral for ‘concern for unspecified IRD’ in 107 subjects (29.23%), and macular dystrophy in 31 subjects (8.46%). The diagnostic yield of genetic testing for rod-cone dystrophy (RCD) cases was 83.89%. The five most common genetic testing confirmed diagnoses were RP, Usher syndrome type 2 (USH2A), Stargardt disease (STGD), Bardet-Biedl syndrome (BBS), and Usher syndrome type 1 (USH1). A total of 46 individual genes had pathogenic variants. The three most frequently pathogenic genes were RHO, USH2A, and ABCA4, with 5 pathogenic variants within RHO, 20 within USH2A, and 17 within ABCA4. Five novel variants were identified across the WFS1, ARSG, USH2A, ADGRV1, and PCDH15 genes.

conclusionsThis study characterizes the genetic landscape of IRDs in a Kentucky cohort, with pathogenic variants in 46 genes, including five novel variants. These novel variants highlight the need for continued research to identify more population-specific variants. The findings highlight the value of genetic testing and contribute to advancing IRD research and care.

trial registrationClinicalTrials.gov registration number: NCT06177977. First posted date: 12/20/2023.

Indexed as

MutationRetinal DiseasesAdolescentAdultAgedAged, 80 and overChildFemaleGenetic TestingHumansKentuckyMaleMiddle AgedRetrospective StudiesUnited StatesYoung AdultGeneticsInherited retinal diseasesInherited retinal dystrophiesMutationsRetinitis pigmentosa

Identifiers

PMID40877827
PMCPMC12392666

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Registered trials

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.