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Table 3 Biochemical and visual outcomes at most recent clinic visit using current management strategies

From: Clinical, biochemical and molecular analysis in a cohort of individuals with gyrate atrophy

Patient no

Compliance with current treatment (Y/N/P)§

Protein restriction (daily intake [g/kg] excluding EAA)

Daily Lysine Supplementation (g)

Current additional amino acid supplement regime with total daily dosage (where available)

Plasma ornithine at diagnosis (NR: 40–150 μmol/L)

Average plasma ornithine in last 5 years (μmol/L)

Average plasma lysine in last 5 years (NR: 100–160 μmol/L)

Average visual acuity at last ophthalmic examination (logMAR)

1

P

No restriction

5

None

1120

1067

87

0.7

2

N

No restriction

0

None

1018

1342

73

0.61

3

P

0.5–0.6

0

None

1007

863

72

0.23

4

Y

1

4

EAA (3–4 sachets)

458

868

84

0.38

5

P

No restriction

4

EAA (3–4 sachets)

695

564

87

0.36

7

Y

0.5–0.8

0

EAA (4 sachets) UCD Amino 5 (1 sachet) Dialamine (100 g)

576

528

150

0.1

8

Y

0.2–0.3

0

EAA (4 sachets)

754

597

130

0.34

9

Y

1

4

None

775

640

106

0.57

10

Y

0.7–1

10

None

826

572

76

0.92

11

P

No restriction

 

EAA Pyridoxine (300 mg)

800

718

204

0.55

12

P

No restriction

10

EAA (4 sachets)

734

641

103

0.35

13

Y

0.15

0

Dialamine (22 scoops) Phlexyvits Zinc biotin

458

392

169

0.23

14

Y

0.4

0

EAA (3 sachets) Docomega

1232

879

195

0.0

15

N

No restriction

4

None

742

716

108

0.31

17

Y

0.5–0.6

0

Dialamine (100 g) Fruityvit

 + 

458

247

0.36

  1. Cases 7, 8 and 14 are paediatric patients; cases 6, 16 and 18 had no available recorded data on ornithine or lysine levels
  2. § Y/P/N: Yes = compliant with both protein restriction, Partial = compliant with supplementation but not protein restriction, N = not compliant. Compliance was determined by patient metabolic medicine/dietician appointments
  3.  + Data not available