BULL'S EYE MACULOPATHY WITH MUTATIONS IN RDS/PRPH2 AND ROM-1
Related Experiment Video
Updated: Feb 18, 2026
Organotypic Retinal Explant Cultures from Macaque Monkey
Published on: August 24, 2022
Juliet O Essilfie1, Christian J Sanfilippo2, David Sarraf3
1Stein Eye Institute, University of California Los Angeles Geffen School of Medicine, Los Angeles, California.
Purpose:
To report a case of bull's eye maculopathy associated with mutations in RDS/PRPH2 and ROM-1 genes.
Methods:
We present a case report of a patient with a characteristic maculopathy and describe the multimodal retinal imaging findings including spectral domain optical coherence tomography and fundus autofluorescence and full-field electrophysiology. The results of genetic testing are also reported.
Results:
A 60-year-old woman presented with decreased vision and a remarkable bull's eye maculopathy with retinal examination. Fundus autofluorescence illustrated a striking pattern of speckled hyperautofluorescence and hypoautofluorescence that highlighted the bull's eye maculopathy in each eye and guided genetic testing, which confirmed a mutation of the RDS/PRPH2 gene and a novel mutation of the ROM-1 gene.
Conclusion:
Multimodal imaging including fundus autofluorescence may guide genetic testing in patients with a characteristic maculopathy. RDS/PRPH2 genetic mutation can be associated with a bull's eye maculopathy with a signature fundus autofluorescence presentation.
