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Abstract #20917 Published in IGR 10-2

Aniridia with preserved visual function: A report of four cases with no mutations in PAX6

Traboulsi EI; Ellison J; Sears J; Maumenee IH; Avallone J; Mohney BG
American Journal of Ophthalmology 2008; 145: 760-764


PURPOSE: To report four patients with aniridia, preserved visual function, and no detectable mutations in PAX6. DESIGN: Retrospective case series. METHODS: The clinical records and molecular genetic findings of four patients from three clinical practices were reviewed retrospectively. RESULTS: All four patients had anterior segment findings characteristic of aniridia with good vision, no nystagmus in three of four patients, and no mutations on PAX6. An optical coherence tomography study from one of the patients showed a very shallow foveal pit. At the latest examination, none of the patients demonstrated a Wilms tumor. CONCLUSIONS: These four cases provide evidence for genetic heterogeneity in aniridia. In aniridic patients without a PAX6 mutation, vision seems to be relatively well preserved.

Dr. E.L. Traboulsi, Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA


Classification:

9.1.3 Syndromes of Axenfeld, Rieger, Peters, aniridia (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
3.4.2 Gene studies (Part of: 3 Laboratory methods > 3.4 Molecular genetics)



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