Biallelic PDE6C mutations are a known cause for rod monochromacy, better known as autosomal recessive achromatopsia (ACHM), and early‐onset cone photoreceptor dysfunction. PDE6C encodes the catalytic α′‐subunit of the cone photoreceptor phosphodiesterase, thereby constituting an essential part of the phototransduction cascade. Here, we present the results of a study comprising 176 genetically preselected patients who remained unsolved after Sanger sequencing of the most frequent genes accounting for ACHM, and were subsequently screened for exonic and splice site variants in PDE6C applying a targeted next generation sequencing approach. We were able to identify potentially pathogenic biallelic variants in 15 index cases. The mutation spectrum comprises 18 different alleles, 15 of which are novel. Our study significantly contributes to the mutation spectrum of PDE6C and allows for a realistic estimate of the prevalence of PDE6C mutations in ACHM since our entire ACHM cohort comprises 1,074 independent families.In a cohort of 176 genetically undiagnosed achromatopsia patients, we performed screening of the PDE6C gene and identified potentially pathogenic biallelic variants in 15 cases. Taking into account a previous screening approach, we calculate a prevalence of 2.4% for PDE6C mutations in our cohort, which is most probably representative for the Western population. As achromatopsia is in the focus of retinal gene therapy with four clinical trials ongoing, our study provides a valuable resource for putative gene therapy trials targeting PDE6C.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146275/1/humu23606-sup-0001-SuppMat.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146275/2/humu23606_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146275/3/humu23606.pd
