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Cystoid macular edema(DCMD)

MedGen UID:
7435
Concept ID:
C0024440
Disease or Syndrome
Synonyms: CYSTOID MACULAR DYSTROPHY; DCMD; MACULAR DYSTROPHY, DOMINANT CYSTOID
SNOMED CT: Cystoid macular edema (193387007); CME - cystoid macular edema (193387007)
Modes of inheritance:
Autosomal dominant inheritance
MedGen UID:
141047
Concept ID:
C0443147
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
 
HPO: HP:0011505
Monarch Initiative: MONDO:0007935
OMIM®: 153880
Orphanet: ORPHA75381

Definition

Dominant cystoid macular dystrophy (DCMD) is a progressive retinal dystrophy characterized primarily by early-onset cystoid fluid collections in the neuroretina (summary by Saksens et al., 2015). [from OMIM]

Clinical features

From HPO
Edema
MedGen UID:
4451
Concept ID:
C0013604
Pathologic Function
An abnormal accumulation of fluid beneath the skin, or in one or more cavities of the body.
Hypermetropia
MedGen UID:
43780
Concept ID:
C0020490
Disease or Syndrome
An abnormality of refraction characterized by the ability to see objects in the distance clearly, while objects nearby appear blurry.
Cystoid macular edema
MedGen UID:
7435
Concept ID:
C0024440
Disease or Syndrome
Dominant cystoid macular dystrophy (DCMD) is a progressive retinal dystrophy characterized primarily by early-onset cystoid fluid collections in the neuroretina (summary by Saksens et al., 2015).
Strabismus
MedGen UID:
21337
Concept ID:
C0038379
Disease or Syndrome
A misalignment of the eyes so that the visual axes deviate from bifoveal fixation. The classification of strabismus may be based on a number of features including the relative position of the eyes, whether the deviation is latent or manifest, intermittent or constant, concomitant or otherwise and according to the age of onset and the relevance of any associated refractive error.
Macular dystrophy
MedGen UID:
196451
Concept ID:
C0730292
Disease or Syndrome
Macular dystrophy is a nonspecific term for premature retinal cell aging and cell death, generally confied to the macula in which no clear extrinsic cause is evident.
Autosomal recessive pericentral pigmentary retinopathy
MedGen UID:
340314
Concept ID:
C1849398
Disease or Syndrome
A subtype of retinitis pigmentosa in which, instead of the pathology starting in the mid-periphery like typical retinitis pigmentosa, the disease starts in the near periphery closer to the vascular arcades and tends to spare the far periphery.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCystoid macular edema
Follow this link to review classifications for Cystoid macular edema in Orphanet.

Conditions with this feature

Cystoid macular edema
MedGen UID:
7435
Concept ID:
C0024440
Disease or Syndrome
Dominant cystoid macular dystrophy (DCMD) is a progressive retinal dystrophy characterized primarily by early-onset cystoid fluid collections in the neuroretina (summary by Saksens et al., 2015).
Retinitis pigmentosa 13
MedGen UID:
325486
Concept ID:
C1838702
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the PRPF8 gene.
Isolated microphthalmia 5
MedGen UID:
410021
Concept ID:
C1970236
Disease or Syndrome
Microphthalmia-retinitis pigmentosa-foveoschisis-optic disc drusen syndrome is a rare, genetic, non-syndromic developmental defect of the eye disorder characterized by the association of posterior microphthalmia, retinal dystrophy compatible with retinitis pigmentosa, localized foveal schisis and optic disc drusen. Patients present high hyperopia, usually adult-onset progressive nyctalopia and reduced visual acuity, and, on occasion, acute-angle glaucoma.
Retinitis pigmentosa 42
MedGen UID:
442864
Concept ID:
C2751986
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the KLHL7 gene.
Retinitis pigmentosa 57
MedGen UID:
462171
Concept ID:
C3150821
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the PDE6G gene.
Retinitis pigmentosa 59
MedGen UID:
462577
Concept ID:
C3151227
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the DHDDS gene.
Retinitis pigmentosa 77
MedGen UID:
934593
Concept ID:
C4310626
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the REEP6 gene.
Retinitis pigmentosa 76
MedGen UID:
934671
Concept ID:
C4310704
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the POMGNT1 gene.
Retinitis pigmentosa 78
MedGen UID:
1378790
Concept ID:
C4479481
Disease or Syndrome
Retinitis pigmentosa-78 (RP78) is an autosomal recessive retinal dystrophy that presents in the third to fourth decade with central visual disturbance, visual field defects, and nyctalopia. Fundus examination reveals optic disc pallor, attenuated retinal vessels, and irregular midperipheral intraretinal pigment migration (Arno et al., 2017). For a general phenotypic description and a discussion of genetic heterogeneity of retinitis pigmentosa, see 268000.
Retinitis pigmentosa 83
MedGen UID:
1648404
Concept ID:
C4748536
Disease or Syndrome
Retinitis pigmentosa-83 (RP83) is characterized by onset of night blindness in the first decade of life, with decreased central vision in the second decade of life in association with retinal degeneration. The retinal dystrophy is associated with cataract, and macular edema has also been reported in some patients (Holtan et al., 2019).
Blau syndrome
MedGen UID:
1684759
Concept ID:
C5201146
Disease or Syndrome
Blau syndrome is characterized by the triad of granulomatous arthritis, uveitis, and dermatitis. First described in 1985, it was considered to be distinct from sarcoidosis due to the early age of onset and autosomal dominant inheritance pattern. Published reports of sporadic cases of children with 'early-onset sarcoidosis' (EOS) with granulomatous involvement of different organs, primarily affecting joints, eyes, and skin, were suspected to represent the same disorder because the patients' characteristics were nearly identical. Subsequently, identical NOD2 mutations were identified in patients with Blau syndrome as well as in patients diagnosed with EOS, confirming earlier suspicions that they represented the same disease (summary by Borzutzky et al., 2010). Unlike older children diagnosed with sarcoidosis, these patients have no apparent pulmonary involvement; however, the disease is progressive and may result in severe complications such as blindness and/or joint destruction (Shetty and Gedalia, 1998).
Retinitis pigmentosa 86
MedGen UID:
1684789
Concept ID:
C5231428
Disease or Syndrome
Retinitis pigmentosa-86 (RP86) is characterized by night blindness followed by progressive narrowing of visual fields and decline in visual acuity, with typical findings of RP on fundus examination, including attenuated retinal vessels, waxy pallor of the optic disc, and bone spicule-like pigmentation (de Bruijn et al., 2018). For a general phenotypic description and a discussion of genetic heterogeneity of retinitis pigmentosa, see 268000.
Retinitis pigmentosa 88
MedGen UID:
1720448
Concept ID:
C5394208
Disease or Syndrome
Retinitis pigmentosa-88 (RP88) is characterized by night blindness and constriction of peripheral visual fields, with mildly reduced visual acuity. Examination shows typical findings of RP, including attenuated retinal vessels, pale optic discs, and pigment deposits in the peripheral retinal pigment epithelium (Zobor et al., 2018; Hu et al., 2019; Albarry et al., 2019). For a discussion of genetic heterogeneity of RP, see 268000.
Retinitis pigmentosa 90
MedGen UID:
1733837
Concept ID:
C5436588
Disease or Syndrome
Retinitis pigmentosa-90 (RP90) is characterized by early-onset night blindness, within the first decade of life. Patients exhibit other typical features of RP, including retinal vessel attenuation, optic disc pallor, and retinal pigment epithelium (RPE) atrophy and pigmentation abnormalities. Macular pseudocoloboma and cystoid macular edema have also been observed (Pierrache et al., 2017). For a discussion of genetic heterogeneity of RP, see 268000.

Professional guidelines

PubMed

Holló G, Aung T, Cantor LB, Aihara M
Surv Ophthalmol 2020 Sep-Oct;65(5):496-512. Epub 2020 Feb 22 doi: 10.1016/j.survophthal.2020.02.004. PMID: 32092363
Wielders LH, Schouten JS, Aberle MR, Lambermont VA, van den Biggelaar FJ, Winkens B, Simons RW, Nuijts RM
J Cataract Refract Surg 2017 Feb;43(2):276-284. doi: 10.1016/j.jcrs.2016.06.041. PMID: 28366377
Guo S, Patel S, Baumrind B, Johnson K, Levinsohn D, Marcus E, Tannen B, Roy M, Bhagat N, Zarbin M
Surv Ophthalmol 2015 Mar-Apr;60(2):123-37. Epub 2014 Sep 2 doi: 10.1016/j.survophthal.2014.08.005. PMID: 25438734

Recent clinical studies

Etiology

Tenney S, Oboh-Weilke A, Wagner D, Chen MY
Surv Ophthalmol 2024 Jan-Feb;69(1):42-50. Epub 2023 Jul 22 doi: 10.1016/j.survophthal.2023.07.003. PMID: 37482306
Teo AYT, Betzler BK, Hua KLQ, Chen EJ, Gupta V, Agrawal R
Ocul Immunol Inflamm 2023 Jul;31(5):1041-1060. Epub 2022 Jun 27 doi: 10.1080/09273948.2022.2070503. PMID: 35759636
Go JA, Mamalis CA, Khandelwal SS
Curr Diab Rep 2021 Dec 30;21(12):67. doi: 10.1007/s11892-021-01418-z. PMID: 34967932
Holló G, Aung T, Cantor LB, Aihara M
Surv Ophthalmol 2020 Sep-Oct;65(5):496-512. Epub 2020 Feb 22 doi: 10.1016/j.survophthal.2020.02.004. PMID: 32092363
Zur D, Loewenstein A
Dev Ophthalmol 2017;58:178-190. Epub 2017 Mar 28 doi: 10.1159/000455280. PMID: 28351047

Diagnosis

Tenney S, Oboh-Weilke A, Wagner D, Chen MY
Surv Ophthalmol 2024 Jan-Feb;69(1):42-50. Epub 2023 Jul 22 doi: 10.1016/j.survophthal.2023.07.003. PMID: 37482306
Teo AYT, Betzler BK, Hua KLQ, Chen EJ, Gupta V, Agrawal R
Ocul Immunol Inflamm 2023 Jul;31(5):1041-1060. Epub 2022 Jun 27 doi: 10.1080/09273948.2022.2070503. PMID: 35759636
Khan MJ, Papakostas T, Kovacs K, Gupta MP
Curr Opin Ophthalmol 2020 Nov;31(6):563-571. doi: 10.1097/ICU.0000000000000714. PMID: 33002988
Holló G, Aung T, Cantor LB, Aihara M
Surv Ophthalmol 2020 Sep-Oct;65(5):496-512. Epub 2020 Feb 22 doi: 10.1016/j.survophthal.2020.02.004. PMID: 32092363
Zur D, Loewenstein A
Dev Ophthalmol 2017;58:178-190. Epub 2017 Mar 28 doi: 10.1159/000455280. PMID: 28351047

Therapy

Tenney S, Oboh-Weilke A, Wagner D, Chen MY
Surv Ophthalmol 2024 Jan-Feb;69(1):42-50. Epub 2023 Jul 22 doi: 10.1016/j.survophthal.2023.07.003. PMID: 37482306
Holló G, Aung T, Cantor LB, Aihara M
Surv Ophthalmol 2020 Sep-Oct;65(5):496-512. Epub 2020 Feb 22 doi: 10.1016/j.survophthal.2020.02.004. PMID: 32092363
Zur D, Loewenstein A
Dev Ophthalmol 2017;58:178-190. Epub 2017 Mar 28 doi: 10.1159/000455280. PMID: 28351047
Yonekawa Y, Kim IK
Curr Opin Ophthalmol 2012 Jan;23(1):26-32. doi: 10.1097/ICU.0b013e32834cd5f8. PMID: 22134362
Irvine AR
Surv Ophthalmol 1976 Jul-Aug;21(1):1-17. doi: 10.1016/0039-6257(76)90045-x. PMID: 785652

Prognosis

Yonekawa Y, Kim IK
Curr Opin Ophthalmol 2012 Jan;23(1):26-32. doi: 10.1097/ICU.0b013e32834cd5f8. PMID: 22134362
Lobo C
Ophthalmologica 2012;227(2):61-7. Epub 2011 Sep 15 doi: 10.1159/000331277. PMID: 21921587
Loewenstein A, Zur D
Dev Ophthalmol 2010;47:148-159. Epub 2010 Aug 10 doi: 10.1159/000320078. PMID: 20703048
Jonas J, Paques M, Monés J, Glacet-Bernard A
Dev Ophthalmol 2010;47:111-135. Epub 2010 Aug 10 doi: 10.1159/000320076. PMID: 20703046
Quinn CJ
Optom Clin 1996;5(1):111-30. PMID: 8963073

Clinical prediction guides

Khochtali S, Ozdal P, AlBloushi AF, Nabi W, Khairallah M
Ocul Immunol Inflamm 2023 Dec;31(10):1915-1929. Epub 2023 Dec 14 doi: 10.1080/09273948.2023.2279683. PMID: 37976519
Teuchner B, Rauchegger T
Klin Monbl Augenheilkd 2022 Sep;239(9):1101-1110. Epub 2022 Sep 6 doi: 10.1055/a-1904-8248. PMID: 36067756
Przeździecka-Dołyk J, Węgrzyn A, Turno-Kręcicka A, Misiuk-Hojło M
Arch Immunol Ther Exp (Warsz) 2016 Apr;64(2):127-37. Epub 2015 Oct 5 doi: 10.1007/s00005-015-0361-y. PMID: 26438050Free PMC Article
Jonas J, Paques M, Monés J, Glacet-Bernard A
Dev Ophthalmol 2010;47:111-135. Epub 2010 Aug 10 doi: 10.1159/000320076. PMID: 20703046
Ray S, D'Amico DJ
Semin Ophthalmol 2002 Sep-Dec;17(3-4):167-80. PMID: 12759847

Recent systematic reviews

Wingert AM, Liu SH, Lin JC, Sridhar J
Cochrane Database Syst Rev 2022 Dec 15;12(12):CD004239. doi: 10.1002/14651858.CD004239.pub4. PMID: 36520144Free PMC Article
Dammacco R, Guerriero S, Alessio G, Dammacco F
Int Ophthalmol 2022 Feb;42(2):689-711. Epub 2021 Nov 21 doi: 10.1007/s10792-021-02058-8. PMID: 34802085Free PMC Article
Bakthavatchalam M, Lai FHP, Rong SS, Ng DS, Brelen ME
Surv Ophthalmol 2018 May-Jun;63(3):329-339. Epub 2017 Oct 5 doi: 10.1016/j.survophthal.2017.09.009. PMID: 28987613
Yilmaz T, Cordero-Coma M, Gallagher MJ
Eye (Lond) 2012 Feb;26(2):252-8. Epub 2011 Nov 18 doi: 10.1038/eye.2011.296. PMID: 22094296Free PMC Article
Shelsta HN, Jampol LM
Retina 2011 Jan;31(1):4-12. doi: 10.1097/IAE.0b013e3181fd9740. PMID: 21187730

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