Main clinical features
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characterized by decrease in visual acuity, tritanopia, sensivity loss in the central visual fields, and pallor of the optic nerve that is readily seen on fundus examination
preferential loss of retinal ganglion cells and progressive optic nerve degeneration (PMID: 20484224))
associated to thickness of the retinal nerve fiber layer (RNFL) and the layer including the ganglion cell layer around the optic discs
approximately 20p100 of affected patients will also develop more severe neuromuscular complications, with phenotypic variability, sensorineural deafness which develops from late childhood to early adulthood, followed by a combination of ataxia and neuromuscular disorder (PMID: 20484224)) |