Optic atrophy, idiopathic, autosomal recessive

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Idiopathic Autosomal Recessive Optic Atrophy is a rare genetic condition characterized by the progressive deterioration of the optic nerve, leading to visual impairment. This condition falls under the broader category of optic atrophy, which encompasses various disorders affecting the optic nerve, the crucial cable transmitting visual information from the eye to the brain.

Etiology[edit | edit source]

The exact cause of Idiopathic Autosomal Recessive Optic Atrophy remains unknown, which is implied by the term "idiopathic." However, its autosomal recessive inheritance pattern suggests that the condition occurs when an individual inherits two copies of a defective gene, one from each parent. These genes are involved in the proper functioning and maintenance of the optic nerve. Despite ongoing research, the specific genes associated with this condition have yet to be identified.

Symptoms[edit | edit source]

Symptoms of Idiopathic Autosomal Recessive Optic Atrophy typically begin in childhood or early adolescence. The primary symptom is a gradual loss of vision, which can affect one or both eyes. Other symptoms may include difficulty seeing in low light conditions (night blindness), a reduction in peripheral vision, and, in some cases, color vision abnormalities. The severity of symptoms can vary widely among affected individuals.

Diagnosis[edit | edit source]

Diagnosis of Idiopathic Autosomal Recessive Optic Atrophy involves a comprehensive eye examination, including visual acuity tests, peripheral vision assessment, and color vision testing. Imaging studies, such as optical coherence tomography (OCT), can assess the thickness of the optic nerve and help in diagnosing optic atrophy. Genetic testing may also be recommended to identify the autosomal recessive inheritance pattern and rule out other genetic conditions.

Treatment[edit | edit source]

Currently, there is no cure for Idiopathic Autosomal Recessive Optic Atrophy. Treatment focuses on managing symptoms and supporting individuals in adapting to their visual limitations. This may include the use of visual aids, such as magnifying glasses and specialized electronic devices, and orientation and mobility training to navigate environments safely. Regular monitoring by an ophthalmologist is essential to address any changes in vision and overall eye health.

Prognosis[edit | edit source]

The prognosis for individuals with Idiopathic Autosomal Recessive Optic Atrophy varies. While the condition can lead to significant visual impairment, the rate of progression and the degree of vision loss differ among affected individuals. Early intervention and supportive measures can help maximize remaining vision and improve quality of life.

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Contributors: Prab R. Tumpati, MD