Gyrate atrophy of the choroid and retina is characterized by autosomal
recessive inheritance, progressive chorioretinal atrophy beginning in
late childhood, and hyperornithinemia with ornithinuria caused by def
icient ornithine aminotransferase activity. In this paper, four patien
ts with gyrate atrophy are described. All patients had visual impairme
nt, mental retardation, hyperornithinemia, hypolysinemia, ornithinuria
and lysinuria. The first case had hypermetropic astigmatism in contra
st to other reported gyrate atrophies. These are the first reported ca
ses from Turkey, but gyrate atrophy may not be rare in Turkey since th
e frequency of some other metabolic disorders has also been reported t
o he high. It is suggested that gyrate atrophy must he considered in a
ll patients with chorioretinal atrophy.