Enhanced S-cone syndrome in a family: first long-term (12-year) follow-up and literature review.
Silvia Pignatto, Asia Amelia Martin, Ana Ursula Gavric et al.
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Case in brief
This report details the long-term clinical course of Enhanced S-cone Syndrome (ESCS) in three siblings with a shared NR2E3 variant. The eldest sibling presented with acute esotropia due to choroidal neovascularization (CNV), while the younger siblings developed macular cystic changes. Despite these complications, all siblings maintained stable visual acuity over a 12-year follow-up period.
Diagnostic / clinical pearl
Clinicians should note that visual acuity in patients with Enhanced S-cone Syndrome can remain stable despite the presence of macular cystic changes.
Why it matters
Understanding the long-term outcomes and variability in Enhanced S-cone Syndrome can inform management strategies and expectations for affected patients.