Macular corneal dystrophy and associated corneal thinning

Purpose To identify the molecular genetic cause of macular corneal dystrophy (MCD) in four probands, and characterize phenotypic similarities between MCD and keratoconus. Methods We performed ophthalmological examination, Scheimpflug imaging (Pentacam, Oculus Inc.), histopathological examination of...

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Veröffentlicht in:Eye (London) 2014-10, Vol.28 (10), p.1201-1205
Hauptverfasser: Dudakova, L, Palos, M, Svobodova, M, Bydzovsky, J, Huna, L, Jirsova, K, Hardcastle, A J, Tuft, S J, Liskova, P
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container_end_page 1205
container_issue 10
container_start_page 1201
container_title Eye (London)
container_volume 28
creator Dudakova, L
Palos, M
Svobodova, M
Bydzovsky, J
Huna, L
Jirsova, K
Hardcastle, A J
Tuft, S J
Liskova, P
description Purpose To identify the molecular genetic cause of macular corneal dystrophy (MCD) in four probands, and characterize phenotypic similarities between MCD and keratoconus. Methods We performed ophthalmological examination, Scheimpflug imaging (Pentacam, Oculus Inc.), histopathological examination of excised corneal buttons, and direct sequencing of the CHST6 coding region. Results Pentacam measurements were taken in six eyes of three probands. All showed diffuse corneal thinning with paracentral steepening of the anterior corneal surface that was graded as keratoconus by the integrated software, but without associated ectasia of the posterior corneal surface or regional thinning. Homozygous or compound heterozygous CHST6 mutations were identified in all cases, including two novel mutations, c.13C>T; p.(Arg5Cys) and c.289C>T; p.(Arg97Cys). Discussion Localized elevation of the anterior corneal curvature can occur in MCD in the absence of other features of keratoconus. The identification of a further two Czech probands with the compound allele c.[484C>G; 599T>G] supports the enrichment of this allele in the study population.
doi_str_mv 10.1038/eye.2014.164
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Methods We performed ophthalmological examination, Scheimpflug imaging (Pentacam, Oculus Inc.), histopathological examination of excised corneal buttons, and direct sequencing of the CHST6 coding region. Results Pentacam measurements were taken in six eyes of three probands. All showed diffuse corneal thinning with paracentral steepening of the anterior corneal surface that was graded as keratoconus by the integrated software, but without associated ectasia of the posterior corneal surface or regional thinning. Homozygous or compound heterozygous CHST6 mutations were identified in all cases, including two novel mutations, c.13C&gt;T; p.(Arg5Cys) and c.289C&gt;T; p.(Arg97Cys). Discussion Localized elevation of the anterior corneal curvature can occur in MCD in the absence of other features of keratoconus. The identification of a further two Czech probands with the compound allele c.[484C&gt;G; 599T&gt;G] supports the enrichment of this allele in the study population.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2014.164</identifier><identifier>PMID: 25081284</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>13/1 ; 13/51 ; 45/22 ; 45/23 ; 45/29 ; 631/208/2489/144 ; Adolescent ; Adult ; Carbohydrate Sulfotransferases ; Clinical Study ; Cornea - pathology ; Corneal Dystrophies, Hereditary - genetics ; Corneal Dystrophies, Hereditary - pathology ; Corneal Pachymetry ; Corneal Topography ; Female ; Humans ; Laboratory Medicine ; Male ; Medicine ; Medicine &amp; Public Health ; Mutation ; Ophthalmology ; Organ Size ; Pharmaceutical Sciences/Technology ; Sulfotransferases - genetics ; Surgery ; Surgical Oncology</subject><ispartof>Eye (London), 2014-10, Vol.28 (10), p.1201-1205</ispartof><rights>Royal College of Ophthalmologists 2014</rights><rights>Copyright Nature Publishing Group Oct 2014</rights><rights>Copyright © 2014 Royal College of Ophthalmologists 2014 Royal College of Ophthalmologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-3de27066055d0e690a7ba8719753d407aeb70b80e5330d3b285129809e039cf13</citedby><cites>FETCH-LOGICAL-c520t-3de27066055d0e690a7ba8719753d407aeb70b80e5330d3b285129809e039cf13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194335/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194335/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25081284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dudakova, L</creatorcontrib><creatorcontrib>Palos, M</creatorcontrib><creatorcontrib>Svobodova, M</creatorcontrib><creatorcontrib>Bydzovsky, J</creatorcontrib><creatorcontrib>Huna, L</creatorcontrib><creatorcontrib>Jirsova, K</creatorcontrib><creatorcontrib>Hardcastle, A J</creatorcontrib><creatorcontrib>Tuft, S J</creatorcontrib><creatorcontrib>Liskova, P</creatorcontrib><title>Macular corneal dystrophy and associated corneal thinning</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose To identify the molecular genetic cause of macular corneal dystrophy (MCD) in four probands, and characterize phenotypic similarities between MCD and keratoconus. 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Methods We performed ophthalmological examination, Scheimpflug imaging (Pentacam, Oculus Inc.), histopathological examination of excised corneal buttons, and direct sequencing of the CHST6 coding region. Results Pentacam measurements were taken in six eyes of three probands. All showed diffuse corneal thinning with paracentral steepening of the anterior corneal surface that was graded as keratoconus by the integrated software, but without associated ectasia of the posterior corneal surface or regional thinning. Homozygous or compound heterozygous CHST6 mutations were identified in all cases, including two novel mutations, c.13C&gt;T; p.(Arg5Cys) and c.289C&gt;T; p.(Arg97Cys). Discussion Localized elevation of the anterior corneal curvature can occur in MCD in the absence of other features of keratoconus. The identification of a further two Czech probands with the compound allele c.[484C&gt;G; 599T&gt;G] supports the enrichment of this allele in the study population.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>25081284</pmid><doi>10.1038/eye.2014.164</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects 13/1
13/51
45/22
45/23
45/29
631/208/2489/144
Adolescent
Adult
Carbohydrate Sulfotransferases
Clinical Study
Cornea - pathology
Corneal Dystrophies, Hereditary - genetics
Corneal Dystrophies, Hereditary - pathology
Corneal Pachymetry
Corneal Topography
Female
Humans
Laboratory Medicine
Male
Medicine
Medicine & Public Health
Mutation
Ophthalmology
Organ Size
Pharmaceutical Sciences/Technology
Sulfotransferases - genetics
Surgery
Surgical Oncology
title Macular corneal dystrophy and associated corneal thinning
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