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retinitis pigmentosa-deafness syndrome

Description

Retinitis Pigmentosa-Deafness Syndrome, also known as Usher Syndrome

Retinitis pigmentosa-deafness syndrome is a rare genetic disorder characterized by the progressive loss of vision and hearing. The condition is caused by mutations in genes that affect the retina and inner ear.

  • Vision Loss: Retinitis pigmentosa (RP) is an eye disease that affects the layer of light-sensitive tissue at the back of the eye (the retina). It causes a gradual degeneration of rod and cone functions, leading to night blindness, loss of peripheral vision, and eventually, complete blindness.
  • Hearing Loss: The hearing loss associated with retinitis pigmentosa-deafness syndrome is sensorineural, meaning it is caused by abnormalities in the inner ear. This type of hearing loss can range from mild to profound and may be accompanied by balance problems.

Key Features

  • Progressive vision loss due to retinitis pigmentosa
  • Sensorineural hearing loss or deafness
  • Balance problems (in some cases)
  • Inherited genetic disorder

References

  • [1] Description of Usher syndrome as a condition characterized by partial or total hearing loss and vision loss that worsens over time.
  • [3] Explanation of how retinitis pigmentosa happens when genes that make up retina cells mutate, affecting the light-sensing cells (rods and cones).
  • [11] Definition of Usher syndrome as a genetic disorder characterized by sensorineural hearing loss or deafness and progressive vision loss due to retinitis pigmentosa.
  • [12] Detailed description of Usher syndrome type I (USH1), which includes congenital, bilateral, profound sensorineural hearing loss, vestibular areflexia, and adolescent-onset retinitis pigmentosa.

Signs and Symptoms

Understanding Usher Syndrome

Usher syndrome, also known as retinitis pigmentosa-deafness syndrome, is a rare genetic disorder that affects both hearing and vision. The major symptoms of this condition are deafness or hearing loss and an eye disease called retinitis pigmentosa (RP).

Key Symptoms:

  • Hearing Loss: Deafness or severe to profound hearing loss, which may be present at birth or develop later in life [1][2].
  • Vision Loss: Gradual loss of vision due to retinitis pigmentosa, a condition that affects the retina and leads to night blindness, tunnel vision, and eventually complete blindness [3][4][5].
  • Balance Problems: Some individuals with Usher syndrome may experience balance problems or difficulties with coordination [9].

Age of Onset:

The symptoms of Usher syndrome can appear at any age, but they often become noticeable in childhood or adolescence. In some cases, the condition may not be diagnosed until later in life.

Types and Subtypes:

There are different types and subtypes of Usher syndrome, which are distinguished by the severity of hearing loss, balance problems, and the age at which symptoms appear [4].

Diagnosis:

A diagnosis of Usher syndrome is typically made through a combination of medical history, physical examination, and genetic testing. An eye care specialist can use dilating drops to examine the retina for signs of RP, while visual field testing measures peripheral vision.

References:

[1] Context 1 [2] Context 2 [3] Context 7 [4] Context 8 [5] Context 12

Diagnostic Tests

Diagnostic Tests for Usher Syndrome

Usher syndrome, also known as retinitis pigmentosa-deafness syndrome, is a rare genetic disorder that affects the retina and auditory nerves. The diagnostic tests for this condition are crucial in

Additional Diagnostic Tests

  • Genetic testing
  • Electroretinogram (ERG)
  • Visual field testing

Treatment

Retinitis Pigmentosa (RP) is a group of rare, genetic disorders that affect the retina's ability to respond to light, leading to progressive vision loss. RP can also be associated with hearing loss, as seen in the Usher syndrome variant.

Current Treatment Options:

While there is no cure for RP, various treatment options are available to manage symptoms and slow disease progression. These include:

  • Vitamin A supplements to help preserve night vision
  • Protection from sunlight to prevent further retinal damage
  • Visual aids such as magnifying glasses or telescopes to enhance remaining vision
  • Medical and surgical interventions to address related complications

**Emer

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Differential Diagnosis

Retinitis pigmentosa (RP) is a group of inherited disorders characterized by progressive peripheral vision loss and night vision difficulties (nyctalopia) that can lead to central vision loss [1]. When RP is associated with deafness, it is referred to as retinitis pigmentosa-deafness syndrome. In such cases, differential diagnosis is crucial to rule out other conditions that may present with similar symptoms.

Some of the differential diagnoses for retinitis pigmentosa-deafness syndrome include:

  • Usher syndrome: a genetic disorder characterized by progressive hearing loss and RP [10]
  • Alport syndrome: a genetic disorder that affects the kidneys, ears, and eyes, often presenting with deafness and progressive nephritis, along with yellow flecks around the macula [9]
  • Deafness-Dystonia-Optic Neuronopathy Syndrome: a rare genetic disorder characterized by hearing loss, dystonia, and optic neuropathy [12]
  • Nonsyndromic Hearing Loss: a condition where hearing loss occurs without any other associated symptoms or syndromes [12]

It is essential to note that individuals presenting with initial symptoms of photopsia (sensation of lights flashing), abnormal central vision, abnormal color vision, or marked asymmetry in ocular involvement may not have RP, but another retinal degeneration or retinal disease [8].

A comprehensive differential diagnosis should consider the patient's medical history, physical examination findings, and laboratory results to determine the underlying cause of their symptoms. This approach can help ensure accurate diagnosis and appropriate management.

References: [1] Context result 5 [8] Context result 8 [9] Context result 9 [10] Context result 10 [12] Context result 12

Additional Information

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An Usher syndrome characterized by retinitis pigmentosa and onset of sensorineural hearing impairment in the teens that has_material_basis_in mutation in the MTTS2 gene in the mitochondrial genome.
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Orphanet has this as part of USH3, reference listed refers to symptoms being almost identical to USH3 but inheritance pattern is different. I made this a child of Usher Syndrome but not USH3 - smb.
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