“…Mutations in ABCA4 lead to the accumulation of toxic bisretinoid atRAL adducts of atRAL in photoreceptors and RPE ( Cideciyan et al, 2015 ), and reduced BCVA reduced as the disease process is initiated near the center of the macula ( Cideciyan et al, 2005 ; Huang et al, 2014 ). ABCA4 mutations are one of the most frequent monogenetic pathogenesis for retinal degeneration ( Cideciyan et al, 2009 , 2012 ; Zangerl et al, 2010 ; Fujinami et al, 2013 ). The clinical manifestation of ABCA4 -related retinopathy is variable, including autosomal recessive Stargardt’s disease (arSTGD), fundus flavimaculatus, autosomal recessive cone-rod dystrophy (arCRD) and autosomal RP ( Jaakson et al, 2003 ; Valverde et al, 2007 ; Riveiro-Alvarez et al, 2013 ; Jiang et al, 2016 ).…”