[Gene therapy treatment based on an ophthalmic indication in hereditary retinal dystrophy caused by RPE65 biallelic gene mutation.].

Orv Hetil

1 Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ, Szemészeti Klinika Szeged, Korányi fasor 10-11., 6726 Magyarország.

Published: November 2022

AI Article Synopsis

  • Leber's congenital amaurosis is a hereditary retinal disorder that severely impacts vision in children, leading to narrowing visual fields and eventual loss of central vision, primarily linked to mutations in the RPE65 gene.
  • This study focuses on two Hungarian patients who received the innovative gene therapy voretigene neparvovec for treating their RPE65-related vision issues.
  • Results showed both patients experienced improved visual acuity and less visual field narrowing, significantly enhancing their quality of life, aligning with previous clinical trial outcomes.

Article Abstract

Introduction: Leber's congenital amaurosis is a genetically determined disease belonging to the group of hereditary retinal dystrophies that leads to significant visual impairment in childhood. The disease initially causes a concentric narrowing of the visual field and, with time, loss of central vision. The RPE65 gene mutation-related retinal dystrophy is the first ophthalmic disease for which gene therapy is available using voretigene neparvovec (Luxturna®, Novartis Pharmaceuticals AG, Basel, Switzerland).

Objective: To present the treatment outcomes of Hungarian patients who were the first to receive voretigene neparvovec gene therapy for the RPE65 biallelic gene mutation.

Method: Two patients with RPE65 biallelic gene mutations confirmed by genetic testing received voretigene neparvovec gene therapy in one eye each. Before treatment and during the follow-up period, we assessed the best corrected visual acuity, the central retinal thickness, the degree of visual field defects and performed electrophysiological studies.

Results: Both the best corrected visual acuity (+3 letters in the older sibling and +10 letters in the younger sibling) and the degree of visual field narrowing improved in both patients. The change in visual function resulted in a significant improvement in the quality of life of our patients.

Conclusion: Postoperative outcomes of our patients correlate with the results of clinical trials. Orv Hetil. 2022; 163(48): 1923-1931.

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Source
http://dx.doi.org/10.1556/650.2022.32636DOI Listing

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