Bietti crystalline chorioretinal dystrophy is an autosomal recessive retinal dystrophy that presents in the third decade. It is caused by genetic variants in the CYP4V2 gene, and at a pathophysiological level lipid metabolism is abnormal. It is characterized by numerous, small, bright crystalline deposits in the posterior retina and may also occur in the corneal limbus, in addition to sclerosis of the choroidal vessels. Patients progressively develop decreased vision, nyctalopia, and paracentral scotomas.
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