Cited by 51Retinal Development and DisordersRetinal Diseases and TreatmentsRetinoids in leukemia and cellular processes

Treatment of a retinal dystrophy, fundus albipunctatus, with oral 9-cis- -carotene

Rotenstreich, Y., Harats, D., Shaish, A., Pras, E., Belkin, M.·2010·British Journal of Ophthalmology

Abstract

BACKGROUND Fundus albipunctatus is a retinal dystrophy caused by a mutation in the gene encoding 11-cis-retinol dehydrogenase which delays the recovery of rod photoreceptor cells from light stimulation leading to night blindness. A recent study of a mouse model of fundus albipunctatus treated with 9-cis-retinal showed an improvement in visual function and structure. METHODS Seven patients with fundus albipunctatus were given a daily food supplement of four capsules containing high-dose 9-cis-beta-carotene for 90 days. The subjects were tested before and after treatment by visual field and electroretinogram in both eyes. This non-randomised prospective phase I study was registered at http://www.clinicaltrials.gov (NCT00478530). RESULTS All patients showed significant improvements in peripheral visual field (mean deviation improved from -4.77+/-2.0 to -3.28+/-2.28, p=0.009, t test) and a highly significant improvement in rod recovery rates measured electroretinographically (maximal scotopic b-wave amplitude responses, improved from 197+/-49 muV to 292+/-48 muV, p<0.001, t test). No complications or side effects were observed. CONCLUSION Oral treatment with 9-cis-beta-carotene led to reversal of a human retinal dystrophy. This potential therapy is readily available and should be evaluated in retinal dystrophies of similar mechanisms such as various types of retinitis pigmentosa.

Integrity signals

Registry

Crossref · 10.1136/bjo.2009.167049

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  • 9-cis-β-carotene is not accepted as a treatment for patients with fundus albipunctatus because no further studies on bigger cohorts were performed.

    “However, no further studies on bigger cohorts were performed, and, therefore, 9-cis-β-carotene is not accepted as a treatment for patients with fundus albipunctatus [145].”

    From The Role of Vitamin A in Retinal Diseases (2022) · cites this paper as [145]

  • Administration of 9-cis-β-carotene in a small group of patients with fundus albipunctatus showed promising results.

    “Administration of 9-cis-β-carotene in a small group of patients with fundus albipunctatus showed promising results.”

    From The Role of Vitamin A in Retinal Diseases (2022) · cites this paper as [145]

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Authors
Rotenstreich, Y., Harats, D., Shaish, A., Pras, E., & Belkin, M.
Affiliations
  • Sheba Medical Center (IL)
  • Tel Aviv University (IL)
Corresponding author
Rotenstreich, Y.
Venue
British Journal of Ophthalmology
Publisher
BMJ
Published
2009-12-02
Volume
94
Issue
5
Pages
616-621
ISSN
0007-1161 (ISSN-L)
OpenAlex
W2142330001
Cited by
51
References
7
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 1 · 2016: 4 · 2015: 4 · 2014: 1 · 2013: 6 · 2012: 7
FWCI
1.47
Type
journal article
Language
en
Open access
closed
Locations
  • British Journal of Ophthalmology (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinoids in leukemia and cellular processes
Keywords
fundus albipunctatus, retinal dystrophy, 9-cis-retinal, 9-cis beta-carotene, night blindness, peripheral visual field, electroretinogram, scotopic b-wave, retinitis pigmentosa, dietary supplementation
MeSH terms
Administration, Oral, Adolescent, Adult, Electroretinography, Female, Humans, Male, Middle Aged, Pilot Projects, Prospective Studies, Retinal Degeneration, Visual Acuity, Visual Fields, Vitamins, Eye Diseases, Hereditary, Treatment Outcome, beta Carotene, Dietary Supplements, Young Adult

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