Edge of scotoma sensitivity as a microperimetry clinical trial end point in ush2a retinopathy

Jason Charng, Tina M. Lamey, Jennifer A. Thompson, Terri L. McLaren, Mary S. Attia, Ian L. McAllister, Ian J. Constable, David A. Mackey, John N. De Roach, Fred K. Chen

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Purpose: Microperimetry is commonly used to assess retinal function. We perform cross-sectional and longitudinal analysis on microperimetry parameters in USH2A retinopathy and explore end points suitable for future clinical trials. Methods: Microperimetry was performed using two grids, Grid 1 (18° diameter) and Grid 2 (6° diameter). In Grid 1, four parameters (number of nonscotomatous loci, mean sensitivity [MS], responding point sensitivity [RPS], and edge of scotoma sensitivity [ESS]) were analyzed. In Grid 2, number of nonscotomatous loci and MS were examined. Interocular symmetry was also examined. Longitudinal analysis was conducted in a subset of eyes. Results: Microperimetry could be performed in 16 of 21 patients. In Grid 1 (n = 15; average age, 35.6 years), average number of nonscotomatous loci, MS, RPS, and ESS were 46.6 loci, 10.0 dB, 14.7 and 9.6 dB, respectively. In Grid 2 (n = 13; average age, 37.4 years), 12 eyes had measurable sensitivity across the entire grid. Average MS was 23.8 dB. Interocular analysis revealed large 95% confidence intervals for all parameters. Longitudinally, Grid 1 (n = 12, average follow-up 2.6 years) ESS showed the fastest rate of decline (–1.84 dB/y) compared with MS (–0.34 dB/y) and RPS (–0.90 dB/y). Conclusions: Our data suggest that ESS may be more useful than MS and RPS in test grids that cover a large extent of the macula. We caution the use of contralateral eye as an internal control. Translational Relevance: ESS may decrease the duration or sample size of treatment trials in USH2A retinopathy.

Original languageEnglish
Article number9
Pages (from-to)1-13
Number of pages13
JournalTranslational Vision Science and Technology
Issue number10
Publication statusPublished - Sep 2020


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