NR 10-12/2005

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Retinal dysfunction in eyes of patients with BRCA1 gene mutation

Dysfunkcja siatkówki w oczach pacjentek z mutacją genu BRCA1

Wojciech Lubiński1, Bohdan Górski2, Zbigniew Szych3, Krzysztof Penkala4, Olgierd Palacz1, Jan Lubiński2

1Clinic of Ophthalmology, Pomeranian Medical University, Szczecin, Poland
Head: prof. dr hab. n. med. Danuta Karczewicz
2International Hereditary Cancer Center, Department of Genetics and Pathology, Pomeranian Academy of Medicine, Szczecin, Poland
Head: prof. dr hab. n. med. Jan Lubiński
3Department of Hygiene and Epidemiology, Pomeranian Academy of Medicine, Szczecin, Poland
Head: drof. dr hab. n. med. Alicja Walczak
4Institute of Electronics, Telecommunications and Information Technology, Technical University of Szczecin, Poland
Head: dr hab. Ewa Weinert-Rączka

Summary: Purpose: To assess the retinal function in BRCA1 gene mutation carriers.
Material and methods: Thirty unaffected patients (60 eyes) with constitutional BRCA1 gene mutation were studied. Flash ERG recordings were performed in accordance with the International Society for Clinical Electrophysiology of Vision (ISCEV) standards.
Results: In ERGs, in the maximal response, amplitude of a-wave (p<0.02) was reduced. In the cone single- flash response, the amplitude of a-wave (p<0.04) was also reduced. In the scotopic oscillatory potentials (OPs), we noted: increased amplitude of OP2 (p<0.0006), increased index of OP amplitude (O1+O2+O3+O4) (p<0.04), and increased latencies of OP1 (<0.05) and OP3 (p<0.004) and OP4 (p<0.03).
Conclusions: Slight dysfunction of rods, cones and inner retinal layers is present in asymptomatic carriers of BRCA1 gene mutation.
Słowa kluczowe:  mutacja genu BRCA1, siatkówka, ERG błyskowy.
Key words: BRCA1 gene mutation, retina, flash ERG.



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