Corneal Decompensation in Recessive Cornea Plana

Purpose: To report corneal decompensation in 3 patients with recessive cornea plana. Methods: Retrospective case series. Results: An adult and two children (all unrelated) with clinical recessive cornea plana had gradual decrease in vision. Ophthalmic examination revealed corneal decompensation (str...

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Veröffentlicht in:Ophthalmic genetics 2009, Vol.30 (3), p.142-145
Hauptverfasser: Khan, Arif O., Aldahmesh, Mohammed A., Al-Gehedan, Saeed, Meyer, Brain F., Alkuraya, Fowzan S.
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container_end_page 145
container_issue 3
container_start_page 142
container_title Ophthalmic genetics
container_volume 30
creator Khan, Arif O.
Aldahmesh, Mohammed A.
Al-Gehedan, Saeed
Meyer, Brain F.
Alkuraya, Fowzan S.
description Purpose: To report corneal decompensation in 3 patients with recessive cornea plana. Methods: Retrospective case series. Results: An adult and two children (all unrelated) with clinical recessive cornea plana had gradual decrease in vision. Ophthalmic examination revealed corneal decompensation (stromal thickening and haze without epithelial changes) in the 3 patients. Diagnostic DNA sequencing revealed homozygosity for a novel splice (c.995-2A>G) in the adult and 2 previously reported KERA mutations in the 2 children (c.1033delC[p.C343AFsX] and c.945C > T[p.R313X]). Conclusions: The phenotype of recessive cornea plana can rarely include corneal decompensation. There are likely modifying factors that can lead to endothelial cell dysfunction in the setting of homozygous KERA mutation.
doi_str_mv 10.1080/13816810902937084
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Methods: Retrospective case series. Results: An adult and two children (all unrelated) with clinical recessive cornea plana had gradual decrease in vision. Ophthalmic examination revealed corneal decompensation (stromal thickening and haze without epithelial changes) in the 3 patients. Diagnostic DNA sequencing revealed homozygosity for a novel splice (c.995-2A&gt;G) in the adult and 2 previously reported KERA mutations in the 2 children (c.1033delC[p.C343AFsX] and c.945C &gt; T[p.R313X]). Conclusions: The phenotype of recessive cornea plana can rarely include corneal decompensation. 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Methods: Retrospective case series. Results: An adult and two children (all unrelated) with clinical recessive cornea plana had gradual decrease in vision. Ophthalmic examination revealed corneal decompensation (stromal thickening and haze without epithelial changes) in the 3 patients. Diagnostic DNA sequencing revealed homozygosity for a novel splice (c.995-2A&gt;G) in the adult and 2 previously reported KERA mutations in the 2 children (c.1033delC[p.C343AFsX] and c.945C &gt; T[p.R313X]). Conclusions: The phenotype of recessive cornea plana can rarely include corneal decompensation. There are likely modifying factors that can lead to endothelial cell dysfunction in the setting of homozygous KERA mutation.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>19941419</pmid><doi>10.1080/13816810902937084</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Child
cornea plana
corneal decompensation
Corneal Diseases - genetics
Corneal Diseases - pathology
endothelial cell
Female
Genes, Recessive
Humans
KERA
Male
Middle Aged
Mutation - genetics
Proteoglycans - genetics
Retrospective Studies
title Corneal Decompensation in Recessive Cornea Plana
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