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Age at onset curves of retinitis pigmentosa
Motokazu Tsujikawa1, Yuko Wada, Marie Sukegawa
1Department of Ophthalmology, Osaka University Medical School, O 2-2 Yamadaoka, Japan. moto@ophthal.med.osaka-u.ac.jp
Insights
Age at onset curves for retinitis pigmentosa (RP) were calculated to aid family recurrence risk assessments. These curves show RP onset increases with age, being low in younger individuals.
Area of Science:
- Ophthalmology
- Genetics
- Medical Statistics
Background:
- Retinitis pigmentosa (RP) is a prevalent hereditary retinal disease causing blindness.
- RP is a slow-onset condition, with affected family members potentially developing symptoms later in life.
- Calculating recurrence risk for RP can be challenging due to its slow and variable onset.
Purpose of the Study:
- To develop age at onset curves for retinitis pigmentosa (RP).
- To provide a tool for more accurate calculation of recurrence risk in families with RP.
- To aid genetic counseling for patients and families affected by RP.
Main Methods:
- Analysis of 370 patients diagnosed with typical retinitis pigmentosa.
- Defining age at onset based on ophthalmologist diagnosis.
- Confirming normal distribution of age at onset data to generate onset curves.
Main Results:
- The average age of RP diagnosis was 35.1 years, with a median of 36.5 years.
- The incidence of RP onset steadily increased with age up to 65 years.
- Onset ratios were observed to be relatively low during younger age groups.
Conclusions:
- Age at onset curves offer a simplified and effective method for counseling in retinitis pigmentosa clinics.
- These curves are crucial for providing accurate recurrence risk information, preventing misleading data.
- Implementing these curves can improve patient and family understanding and management of RP.
Objective:
To calculate age at onset curves of retinitis pigmentosa (RP) to resolve the difficulty in calculating the recurrence risk in a family. Retinitis pigmentosa is a common hereditary retinal disease that leads to blindness. It is a slow-onset disease, and family members of patients sometimes develop RP later.
Methods:
We studied 370 patients with typical RP. The age at onset was defined as when the patient's RP was diagnosed by an ophthalmologist. After confirmation that the age at onset came from normal distribution, we drew the age at onset curves.
Results:
The average age when patients were diagnosed with RP was 35.1 years, and the median age was 36.5. The onset ratio straightly increased with age until 65 years, so the onset ratio was relatively low at young ages.
Conclusions:
The age at onset curves are quite simple and useful tools that facilitate counseling at an RP clinic. Without them, the recurrence risk would be misleading.
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