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Updated: Dec 25, 2025

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Multimodal Volumetric Retinal Imaging by Oblique Scanning Laser Ophthalmoscopy oSLO and Optical Coherence Tomography OCT
Published on: August 4, 2018
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OCULAR MANIFESTATIONS OF PORETTI-BOLTSHAUSER SYNDROME: FINDINGS FROM MULTIMODAL IMAGING AND ELECTROPHYSIOLOGY
Cindy X Cai1, Michelle Go1, Michael P Kelly1
1Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina; and.
Retinal Cases & Brief Reports
|March 21, 2020
Summary
Poretti-Boltshauser syndrome, caused by LAMA1 mutations, can present with retinal vascular anomalies and chorioretinal thinning. These findings highlight LAMA1's role in ocular vascular development.
Area of Science:
- Ophthalmology
- Genetics
- Neurology
Background:
- Poretti-Boltshauser syndrome is a rare neurological disorder characterized by cerebellar cysts, linked to LAMA1 gene mutations.
- Ophthalmic manifestations of this syndrome are not well-documented.
Observation:
- A case study of a 3-year-old boy with genetically confirmed Poretti-Boltshauser syndrome.
- Comprehensive ophthalmic evaluation included electroretinography and multimodal imaging.
Findings:
- Retinal vascular anomalies, including macular nonperfusion and thinning, were observed.
- Reduced density of macular vascular plexuses and loss of choriocapillaris architecture were noted.
- Optical coherence tomography angiography revealed an absent foveal avascular zone.
Implications:
- This study details the ophthalmic findings in Poretti-Boltshauser syndrome.
- LAMA1 mutations may contribute to retinal and choroidal vascular development abnormalities.
- Multimodal imaging is crucial for identifying these ocular manifestations.
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