Lattice corneal dystrophy type I without typical lattice lines: role of mutational analysis

To describe a Japanese patient with lattice corneal dystrophy type I (LCD I) who lacked the typical lattice lines. Interventional case report. A complete ophthalmologic examination was performed on a 54-year-old woman, and the TGFBI gene was analyzed by direct genomic sequencing. The patient had dif...

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Veröffentlicht in:American journal of ophthalmology 2004-03, Vol.137 (3), p.586-588
Hauptverfasser: Yoshida, Shigeo, Yoshida, Ayako, Nakao, Shintaro, Emori, Aki, Nakamura, Takao, Fujisawa, Kimihiko, Kumano, Yuji, Ishibashi, Tatsuro
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container_issue 3
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container_title American journal of ophthalmology
container_volume 137
creator Yoshida, Shigeo
Yoshida, Ayako
Nakao, Shintaro
Emori, Aki
Nakamura, Takao
Fujisawa, Kimihiko
Kumano, Yuji
Ishibashi, Tatsuro
description To describe a Japanese patient with lattice corneal dystrophy type I (LCD I) who lacked the typical lattice lines. Interventional case report. A complete ophthalmologic examination was performed on a 54-year-old woman, and the TGFBI gene was analyzed by direct genomic sequencing. The patient had diffuse opacification of the central corneal stroma but without lattice lines and corneal epithelial erosions bilaterally. Molecular genetic analysis identified a lattice corneal dystrophy I–associated heterozygous missense alteration (C417T) that changed arginine in codon 124 to cysteine (R124C) in the TGFBI gene. The cornea of the patient appeared to represent late-stage lattice corneal dystrophy I, which suggests the existence of interactions of modifier genes, environmental factors during corneal aging, or both. The molecular genetic analysis of TGFBI can offer rapid, accurate diagnosis of patients with atypical corneal appearance.
doi_str_mv 10.1016/j.ajo.2003.09.003
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subjects Biological and medical sciences
Corneal Dystrophies, Hereditary - diagnosis
Corneal Dystrophies, Hereditary - genetics
Corneal Opacity - diagnosis
Corneal Opacity - genetics
Corneal Stroma - pathology
Diseases of cornea, anterior segment and sclera
DNA Mutational Analysis
Extracellular Matrix Proteins - genetics
Female
Genes
Humans
Medical sciences
Middle Aged
Mutation
Mutation, Missense
Ophthalmology
Patients
Transforming Growth Factor beta - genetics
Visual Acuity
title Lattice corneal dystrophy type I without typical lattice lines: role of mutational analysis
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