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Color vision abnormality as an initial presentation of the complete type of congenital stationary night blindness

Authors Tan X, Aoki A, Yanagi Y

Received 5 June 2013

Accepted for publication 2 July 2013

Published 7 August 2013 Volume 2013:7 Pages 1587—1590

DOI https://doi.org/10.2147/OPTH.S49496

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Xue Tan, Aya Aoki, Yasuo Yanagi

Department of Ophthalmology, University of Tokyo School of Medicine, Hongo, Bunkyo-ku, Tokyo, Japan

Abstract: Patients with the complete form of congenital stationary night blindness (CSNB) often have reduced visual acuity, myopia, impaired night vision, and sometimes nystagmus and strabismus, however, they seldom complain of color vision abnormality. A 17-year-old male who was at technical school showed abnormalities in the color perception test for employment, and was referred to our hospital for a detailed examination. He had no family history of color vision deficiency and no other symptoms. During the initial examination, his best-corrected visual acuity was 1.2 in both eyes. His fundus showed no abnormalities except for somewhat yellowish reflex in the fovea of both eyes. Electroretinogram (ERG) showed a good response in cone ERG and 30 Hz flicker ERG, however, the bright flash, mixed rod and cone ERG showed a negative type with a reduced b-wave (positive deflection). There was no response in the rod ERG, either. From the findings of the typical ERG, the patient was diagnosed with complete congenital stationary night blindness. This case underscores the importance of ERG in order to diagnose the cause of a color vision anomaly.

Keywords: congenital stationary night blindness, CSNB, electroretinogram, ERG, color vision defect

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