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Evaluation of Structural and Functional Retinal Changes in the Achromatopsia Spectrum with Multimodal Imaging
Deniz Altinbay1,2,3, Huban Atilla2,4
1Private Nivgoz Eye Center, Adana, Turkiye.
Current Eye Research
|January 16, 2026
Summary
Achromatopsia (ACHM) is a rare inherited retinal disorder. Multimodal imaging reveals significant photoreceptor damage, ellipsoid zone loss, and foveal hypoplasia in ACHM patients.
Area of Science:
- Ophthalmology
- Genetics
- Medical Imaging
Background:
- Achromatopsia (ACHM) is a rare inherited retinal disorder characterized by reduced visual acuity, photophobia, and nystagmus.
- Limited literature exists due to the rarity of ACHM, necessitating further investigation into its structural and functional retinal manifestations.
Purpose of the Study:
- To evaluate the structural and functional retinal changes in patients with Achromatopsia using multimodal imaging.
- To characterize the spectrum of retinal alterations in ACHM and correlate imaging findings with disease progression.
Main Methods:
- A prospective, cross-sectional study involving 62 eyes from 31 ACHM patients.
- Multimodal imaging assessments included macular pigment optical density (MPOD), microperimetry, contrast sensitivity (CS), fundus autofluorescence (FAF), and optical coherence tomography (OCT).
- Patients were staged based on photoreceptor layer damage.
Main Results:
- 72% of eyes exhibited photoreceptor damage, with significant ellipsoid zone loss (59%) and foveal hypoplasia (52%).
- Reduced macular pigment optical density (MPOD) and retinal sensitivity were observed.
- Significant correlations were found between ellipsoid zone integrity and age, central macular thickness (CMT), and FAF patterns.
Conclusions:
- Achromatopsia is associated with widespread photoreceptor damage, ellipsoid zone loss, and foveal hypoplasia.
- Multimodal imaging provides valuable insights into the structural and functional retinal changes in ACHM.
- Findings may aid in designing future clinical trials for ACHM therapies.

