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Related Experiment Video

Updated: Mar 19, 2026

Differentiation, Maintenance, and Analysis of Human Retinal Pigment Epithelium Cells: A Disease-in-a-dish Model for BEST1 Mutations
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Differentiation, Maintenance, and Analysis of Human Retinal Pigment Epithelium Cells: A Disease-in-a-dish Model for BEST1 Mutations

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Unilateral BEST1-Associated Retinopathy.

Rashi Arora1, Kamron Khan2, Melissa L Kasilian2

  • 1Moorfields Eye Hospital, London, United Kingdom; Salisbury District Hospital, Salisbury, United Kingdom.

American Journal of Ophthalmology
|June 12, 2016
PubMed
Summary
This summary is machine-generated.

Best disease, caused by BEST1 gene mutations, can present unilaterally in one eye, despite bilateral retinal dysfunction. This finding aids in diagnosing atypical cases.

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Area of Science:

  • Ophthalmology
  • Genetics
  • Retinal Diseases

Background:

  • Best disease is a genetic retinal disorder typically presenting with bilateral symptoms.
  • Mutations in the BEST1 gene are the primary cause of Best disease.

Observation:

  • This study describes five patients with BEST1 mutations presenting with unilateral clinical manifestations of Best disease.
  • Despite unilateral eye symptoms, electrophysiological tests revealed bilateral retinal pigment epithelium dysfunction.

Findings:

  • BEST1 gene mutations exhibit variable penetrance and expressivity, leading to atypical unilateral presentations.
  • Clinical and electrophysiological findings in these cases are consistent with Best disease, despite the asymmetric ocular involvement.

Implications:

  • Recognizing unilateral Best disease is crucial for accurate diagnosis and genetic counseling.
  • This study highlights the importance of considering atypical presentations in genetic retinal disorders.