Wolfram syndrome with vitelliform retinal deposits

ABSTRACT

Background

: Wolfram Syndrome is a rare genetic disorder usually inherited in an autosomal recessive manner. The acronym DIDMOAD characterizes the classic constellation of findings: diabetes insipidus, diabetes mellitus, optic atrophy, and deafness. However, other ocular and systemic manifestations may also be present. The aim of this report is to present a patient with Wolfram Syndrome presenting with vitelliform changes in the retina – an association that has not been previously reported.

Materials and Methods

: Case Report

Results

: Ophthalmologic examination and imaging studies showed bilateral optic neuropathy and scattered bilateral subretinal vitelliform deposits. Genetic testing was positive for Wolfram Syndrome.

Conclusion

: This patient showed optic atrophy with associated vitelliform retinal changes. The previously unreported association of these findings present possible associations in the molecular pathophysiology underlying both Wolfram syndrome and the spectrum of retinal disorders associated with vitelliform changes.

KEYWORDS:

• Wolfram syndrome
• hereditary optic atrophy
• retinal dystrophy
• vitelliform changes
• endoplasmic reticulum
• calcium homeostasis

Declaration of interest

ARC– expert witness fees, consulting for US Nutraceuticals, Horizon Therapeutics (none conflicting with this manuscript); SJS – none.

Correction Statement

This article has been republished with minor changes. These changes do not impact the academic content of the article.