Corneal Decompensation in Recessive Cornea Plana

Autor: Arif O, Khan, Mohammed A, Aldahmesh, Saeed, Al-Gehedan, Brian F, Meyer, Brain F, Meyer, Fowzan S, Alkuraya
Rok vydání: 2009
Předmět:
Zdroj: Ophthalmic Genetics. 30:142-145
ISSN: 1744-5094
1381-6810
DOI: 10.1080/13816810902937084
Popis: 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.
Databáze: OpenAIRE
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