Repeatability and longitudinal assessment of foveal cone structure in CNGB3 -Associated achromatopsia

Christopher S. Langlo, Laura R. Erker, Maria Parker, Emily J. Patterson, Brian P. Higgins, Phyllis Summerfelt, Moataz M. Razeen, Frederick T. Collison, Gerald A. Fishman, Christine N. Kay, Jing Zhang, Richard G. Weleber, Paul Yang, Mark E. Pennesi, Byron L. Lam, Jeffrey D. Chulay, Alfredo Dubra, William W. Hauswirth, David J. Wilson, Joseph Carroll

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Purpose: Congenital achromatopsia is an autosomal recessive disease causing substantial reduction or complete absence of cone function. Although believed to be a relatively stationary disorder, questions remain regarding the stability of cone structure over time. In this study, the authors sought to assess the repeatability of and examine longitudinal changes in measurements of central cone structure in patients with achromatopsia. Methods: Forty-one subjects with CNGB3-associated achromatopsia were imaged over a period of between 6 and 26 months using optical coherence tomography and adaptive optics scanning light ophthalmoscopy. Outer nuclear layer (ONL) thickness, ellipsoid zone (EZ) disruption, and peak foveal cone density were assessed. Results: ONL thickness increased slightly compared with baseline (0.184 m/month, P = 0.02). The EZ grade remained unchanged for 34/41 subjects. Peak foveal cone density did not significantly change over time (mean change 1% per 6 months, P = 0.126). Conclusion: Foveal cone structure showed little or no change in this group of subjects with CNGB3-associated achromatopsia. Over the time scales investigated (6-26 months), achromatopsia seems to be a structurally stable condition, although longer-term follow-up is needed. These data will be useful in assessing foveal cone structure after therapeutic intervention.

Original languageEnglish (US)
Pages (from-to)1956-1966
Number of pages11
Issue number10
StatePublished - Oct 1 2017


  • achromatopsia
  • adaptive optics
  • color vision
  • cone photoreceptor
  • gene therapy
  • imaging
  • retinal degeneration

ASJC Scopus subject areas

  • Ophthalmology


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