2008
DOI: 10.1007/s10633-008-9142-9
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Functional retinal changes in Gaucher disease

Abstract: In Gaucher disease, sphingolipid glucosylceramide is accumulated in cells of the reticulo-endothelial system. This leads to the formation of "Gaucher cells," which are enlarged macrophages. In the eye, circumscript preretinal deposits are a pathognomonic feature. We describe the case of a 23-year-old woman with no subjective complaints but a reduced ERG response, leading to the suspicion that in addition to circumscript deposition diffuse accumulation of metabolic endproducts might be present in the retina in … Show more

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Cited by 26 publications
(15 citation statements)
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“…GlcCer accumulation in patients with Gaucher's disease ultimately results in vision loss due to retinal neuronal cell death ( 11 ). As mentioned before, elevated GlcCer seems to be a major mediator of diabetic retinopathy, signaling stress responses and/or insulin resistance and contributing to the pathogenesis of diabetic retinopathy; inhibition of GlcCer synthesis increases insulin sensitivity in retinal neurons and reduces neuronal death in the diabetic rat retina ( 135 ).…”
Section: Glucosylceramide In the Eyementioning
confidence: 88%
See 1 more Smart Citation
“…GlcCer accumulation in patients with Gaucher's disease ultimately results in vision loss due to retinal neuronal cell death ( 11 ). As mentioned before, elevated GlcCer seems to be a major mediator of diabetic retinopathy, signaling stress responses and/or insulin resistance and contributing to the pathogenesis of diabetic retinopathy; inhibition of GlcCer synthesis increases insulin sensitivity in retinal neurons and reduces neuronal death in the diabetic rat retina ( 135 ).…”
Section: Glucosylceramide In the Eyementioning
confidence: 88%
“…Due to its chemical structure that allows for tight packing, Cer regulates membrane properties, enzymes responsible for their degradation, occurs in several inherited diseases, and is often associated with retinal impairment and vision loss due to retina neuronal cell death (8)(9)(10)(11); however, the mechanisms leading to this death are uncertain. In this review, we will focus on the socalled "simple sphingolipids" Cer, Sph, and S1P, as opposed to sphingolipids with more complex headgroups ( 12 ).…”
Section: Cer a Deadly Second Messengermentioning
confidence: 99%
“…Esto probablemente se deba a que estos medicamentos no pasan la barrera hematorretiniana (28,45). Sin embargo, en 1998 se informó el caso de una paciente de 42 años con EG tipo 1 homocigótica para la mutación N370S, quien presentaba disminución de la agudeza visual del campo izquierdo de 9 meses de duración.…”
Section: Tratamiento De Las Manifestaciones Ocularesunclassified
“…3 This was the only included study to examine measures to avert the development of recurrent corneal erosion following traumatic corneal abrasion; clearly more studies are needed as a range of treatment options are available for traumatic corneal erosions. 5,6 It is common practice to treat a traumatic corneal abrasion with antibiotic and/or lubricating ointment; however, such therapy is not always continued for months. '…”
Section: Systematic Review On Interventions For Recurrentmentioning
confidence: 99%
“…[3][4][5] The pathophysiology of the retinal Gaucher cells is yet to be explained, but the accumulation of higher levels of circulating glucosylceramide in unusual systemic locations has been suggested as causal. 5 Progression over time was only reported by Stark 6 who described chalk-white spots of varying sizes mainly located peripherally without foveal interference. In our case, the reported lesions did not shrink despite glucocerebrosidase replacement possibly explaining the immune-privilege enjoyed by the eye, which prevents such large proteins from crossing the blood-brain barrier.…”
Section: Commentmentioning
confidence: 99%