Raras
Buscar doenças, sintomas, genes...
Catarata parcial de início precoce
ORPHA:98992CID-10 · Q12.0CID-11 · LA12.1DOENÇA RARA

Envelhecimento é o processo de envelhecer. O termo refere-se principalmente a humanos, outros animais e também fungos, enquanto, por exemplo, bactérias, plantas perenes e alguns animais simples são potencialmente biologicamente imortais. Em um sentido mais amplo, o envelhecimento pode se referir a células individuais dentro de um organismo que pararam de se dividir ou à população de uma espécie.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

Catarata parcial de início precoce é uma condição hereditária rara que causa opacificação parcial do cristalino, afetando a visão desde a infância. Pode estar associada a mutações nos genes HSF4, GJA8, FYCO1, BFSP1 ou LEMD2.

Publicações científicas
7 artigos
Último publicado: 2024 Jun 1
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q12.0
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

👁️
Olhos
11 sintomas
🧠
Neurológico
1 sintomas

+ 2 sintomas em outras categorias

Características mais comuns

Ambliopia
Alta miopia
Catarata pulverulenta
Acuidade visual levemente reduzida
Lenticone anterior
Catarata polar anterior
14sintomas
Sem dados (14)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 14 características clínicas mais associadas, ordenadas por frequência.

AmbliopiaAmblyopia
Alta miopiaHigh myopia
Catarata pulverulentaPulverulent cataract
Acuidade visual levemente reduzidaMildly reduced visual acuity
Lenticone anteriorAnterior lenticonus

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa11
Total histórico7PubMed
Últimos 10 anos7publicações
Pico20252 papers
Linha do tempo
20202015Hoje · 2026🧪 2010Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

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Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

29 genes identificados com associação a esta condição.

Autosomal dominantAutosomal recessiveX-linked recessive
CRYAAAlpha-crystallin A chainCandidate gene tested inModerado
FUNÇÃO

Contributes to the transparency and refractive index of the lens (PubMed:18302245). In its oxidized form (absence of intramolecular disulfide bond), acts as a chaperone, preventing aggregation of various proteins under a wide range of stress conditions (PubMed:18199971, PubMed:19595763, PubMed:22120592, PubMed:31792453). Required for the correct formation of lens intermediate filaments as part of a complex composed of BFSP1, BFSP2 and CRYAA (PubMed:28935373)

LOCALIZAÇÃO

CytoplasmNucleus

EXPRESSÃO TECIDUAL(Baixa expressão)
Rim - Medula
3.3 TPM
Rim - Córtex
0.2 TPM
Fígado
0.0 TPM
OUTRAS DOENÇAS (6)
cataract 9 multiple typesearly-onset nuclear cataractearly-onset lamellar cataracttotal early-onset cataract
HGNC:2388UniProt:P02489
BFSP2PhakininCandidate gene tested inTolerante
FUNÇÃO

Required for the correct formation of lens intermediate filaments as part of a complex composed of BFSP1, BFSP2 and CRYAA (PubMed:28935373). Plays a role in maintenance of retinal lens optical clarity (By similarity)

LOCALIZAÇÃO

Cell membraneCytoplasmCytoplasm, cytoskeletonCytoplasm, cell cortex

MECANISMO DE DOENÇA

Cataract 12, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. The opacities can be nuclear, sutural, stellate cortical, lamellar, cortical, nuclear embryonic, Y-sutural, punctate cortical, congenital or with juvenile- and adult-onset.

OUTRAS DOENÇAS (4)
cataract 12 multiple typesearly-onset lamellar cataractpulverulent cataractearly-onset sutural cataract
HGNC:1041UniProt:Q13515
PITX3Pituitary homeobox 3Candidate gene tested inRestrito
FUNÇÃO

Transcriptional regulator which is important for the differentiation and maintenance of meso-diencephalic dopaminergic (mdDA) neurons during development. In addition to its importance during development, it also has roles in the long-term survival and maintenance of the mdDA neurons. Activates NR4A2/NURR1-mediated transcription of genes such as SLC6A3, SLC18A2, TH and DRD2 which are essential for development of mdDA neurons. Acts by decreasing the interaction of NR4A2/NURR1 with the corepressor

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Anterior segment dysgenesis 1

A form of anterior segment dysgenesis, a group of defects affecting anterior structures of the eye including cornea, iris, lens, trabecular meshwork, and Schlemm canal. Anterior segment dysgeneses result from abnormal migration or differentiation of the neural crest derived mesenchymal cells that give rise to components of the anterior chamber during eye development. Different anterior segment anomalies may exist alone or in combination, including iris hypoplasia, enlarged or reduced corneal diameter, corneal vascularization and opacity, posterior embryotoxon, corectopia, polycoria, abnormal iridocorneal angle, ectopia lentis, and anterior synechiae between the iris and posterior corneal surface. Clinical conditions falling within the phenotypic spectrum of anterior segment dysgeneses include aniridia, Axenfeld anomaly, Reiger anomaly/syndrome, Peters anomaly, and iridogoniodysgenesis.

EXPRESSÃO TECIDUAL(Tecido-específico)
Músculo esquelético
9.3 TPM
Testículo
2.4 TPM
Substância negra
1.8 TPM
Coração - Ventrículo esquerdo
0.7 TPM
Rim - Medula
0.3 TPM
OUTRAS DOENÇAS (4)
cataract 11 multiple typesanterior segment dysgenesis 1early-onset posterior polar cataractcataract-glaucoma syndrome
HGNC:9006UniProt:O75364
CRYGSGamma-crystallin SCandidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 20, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT20 includes progressive polymorphic anterior, posterior, or peripheral cortical.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
28.0 TPM
Cerebelo
26.0 TPM
Baço
16.4 TPM
Próstata
11.9 TPM
Tireoide
11.6 TPM
OUTRAS DOENÇAS (3)
cataract 20 multiple typesearly-onset lamellar cataractearly-onset sutural cataract
HGNC:2417UniProt:P22914
CRYGBGamma-crystallin BCandidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 39, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT39 includes lamellar, anterior polar, and complete cataracts.

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
0.7 TPM
Brain Spinal cord cervical c-1
0.2 TPM
Substância negra
0.1 TPM
Hipotálamo
0.0 TPM
Hipocampo
0.0 TPM
INTERAÇÕES PROTEICAS (2)
OUTRAS DOENÇAS (4)
cataract 39 multiple typesearly-onset lamellar cataracttotal early-onset cataractearly-onset anterior polar cataract
HGNC:2409UniProt:P07316
VIMVimentinDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Vimentins are class-III intermediate filaments found in various non-epithelial cells, especially mesenchymal cells. Vimentin is attached to the nucleus, endoplasmic reticulum, and mitochondria, either laterally or terminally. Plays a role in cell directional movement, orientation, cell sheet organization and Golgi complex polarization at the cell migration front (By similarity). Protects SCRIB from proteasomal degradation and facilitates its localization to intermediate filaments in a cell conta

LOCALIZAÇÃO

CytoplasmCytoplasm, cytoskeletonNucleus matrixCell membraneCell projection, axon

VIAS BIOLÓGICAS (6)
Caspase-mediated cleavage of cytoskeletal proteinsDevelopmental Lineage of Mammary Gland Myoepithelial CellsDengue Virus-Host InteractionsInterleukin-4 and Interleukin-13 signalingStriated Muscle Contraction
MECANISMO DE DOENÇA

Cataract 30, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function.

EXPRESSÃO TECIDUAL(Ubíquo)
Aorta
3090.7 TPM
Artéria tibial
2998.2 TPM
Nervo tibial
2993.6 TPM
Fibroblastos
2829.0 TPM
Ovário
2292.7 TPM
OUTRAS DOENÇAS (3)
cataract 30epithelioid hemangiomapulverulent cataract
HGNC:12692UniProt:P08670
NHSActin remodeling regulator NHSCandidate gene tested inAltamente restrito
FUNÇÃO

May function in cell morphology by maintaining the integrity of the circumferential actin ring and controlling lamellipod formation. Involved in the regulation eye, tooth, brain and craniofacial development

LOCALIZAÇÃO

Apical cell membraneCell projection, lamellipodiumCell junction, tight junctionCell junction, focal adhesionCytoplasm

VIAS BIOLÓGICAS (3)
RAC3 GTPase cycleRAC1 GTPase cycleRAC2 GTPase cycle
MECANISMO DE DOENÇA

Nance-Horan syndrome

Rare X-linked disorder characterized by congenital cataracts, dental anomalies, dysmorphic features, and, in some cases, intellectual disability. Distinctive dental anomalies are seen in affected males, including supernumerary incisors and crown shaped permanent teeth. Characteristic facial features are anteverted pinnae, long face, and prominent nasal bridge and nose. Carrier females display milder variable symptoms of disease with lens opacities often involving the posterior Y sutures, and on occasion dental anomalies and the characteristic facial features described.

EXPRESSÃO TECIDUAL(Ubíquo)
Aorta
13.7 TPM
Cervix Endocervix
13.1 TPM
Nervo tibial
12.9 TPM
Cervix Ectocervix
12.8 TPM
Artéria tibial
9.7 TPM
INTERAÇÕES PROTEICAS (4)
OUTRAS DOENÇAS (4)
cataract 40Nance-Horan syndromeearly-onset nuclear cataracttotal early-onset cataract
HGNC:7820UniProt:Q6T4R5
CRYGCGamma-crystallin CCandidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 2, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT2 includes Coppock-like cataract, among others. Coppock-like cataract is a congenital pulverulent disk-like opacity involving the embryonic nucleus with many tiny white dots in the lamellar portion of the lens. It is usually bilateral and dominantly inherited. In some cases, CTRCT2 is associated with microcornea without any other systemic anomaly or dysmorphism. Microcornea is defined by a corneal diameter inferior to 10 mm in both meridians in an otherwise normal eye.

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
3.7 TPM
OUTRAS DOENÇAS (5)
cataract 2, multiple typescataract - microcornea syndromeearly-onset nuclear cataractpulverulent cataract
HGNC:2410UniProt:P07315
CRYBA4Beta-crystallin A4Candidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

VIAS BIOLÓGICAS (4)
Attenuation phaseRegulation of HSF1-mediated heat shock responseHSF1-dependent transactivationHSF1 activation
MECANISMO DE DOENÇA

Cataract 23, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT23 is a zonular cataract. Zonular or lamellar cataracts are opacities, broad or narrow, usually consisting of powdery white dots affecting only certain layers or zones between the cortex and nucleus of an otherwise clear lens. The opacity may be so dense as to render the entire central region of the lens completely opaque, or so translucent that vision is hardly if at all impeded. Zonular cataracts generally do not involve the embryonic nucleus, though sometimes they involve the fetal nucleus. Usually sharply separated from a clear cortex outside them, they may have projections from their outer edges known as riders or spokes.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
3.8 TPM
Baço
0.6 TPM
Brain Frontal Cortex BA9
0.3 TPM
Linfócitos
0.2 TPM
Brain Anterior cingulate cortex BA24
0.2 TPM
OUTRAS DOENÇAS (3)
cataract 23cataract - microcornea syndromeearly-onset lamellar cataract
HGNC:2396UniProt:P53673
UNC45BProtein unc-45 homolog BCandidate gene tested inTolerante
FUNÇÃO

Acts as a co-chaperone for HSP90 and is required for proper folding of the myosin motor domain. Plays a role in sarcomere formation during muscle cell development. Is necessary for normal early lens development

LOCALIZAÇÃO

Cytoplasm, myofibril, sarcomere, Z lineCytoplasm, myofibril, sarcomere, A bandCytoplasm, perinuclear regionCytoplasm, cytosol

MECANISMO DE DOENÇA

Cataract 43

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function.

EXPRESSÃO TECIDUAL(Tecido-específico)
Músculo esquelético
83.7 TPM
Coração - Ventrículo esquerdo
50.8 TPM
Coração - Átrio
46.9 TPM
Artéria coronária
9.3 TPM
Testículo
2.2 TPM
OUTRAS DOENÇAS (4)
myofibrillar myopathy 11cataract 43early-onset nuclear cataractearly-onset posterior subcapsular cataract
HGNC:14304UniProt:Q8IWX7
CRYGDGamma-crystallin DCandidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 4, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT4 includes crystalline aculeiform, congenital cerulean and non-nuclear polymorphic cataracts, among others. Crystalline aculeiform cataract is characterized by fiberglass-like or needle-like crystals projecting in different directions, through or close to the axial region of the lens. Non-nuclear polymorphic cataract is a partial opacity with variable location between the fetal nucleus of the lens and the equator. The fetal nucleus is normal. The opacities are irregular and look similar to a bunch of grapes and may be present simultaneously in different lens layers. Congenital cerulean cataract is characterized by peripheral bluish and white opacifications organized in concentric layers with occasional central lesions arranged radially. The opacities are observed in the superficial layers of the fetal nucleus as well as the adult nucleus of the lens. Involvement is usually bilateral. Visual acuity is only mildly reduced in childhood. In adulthood, the opacifications may progress, making lens extraction necessary. Histologically the lesions are described as fusiform cavities between lens fibers which contain a deeply staining granular material. Although the lesions may take on various colors, a dull blue is the most common appearance and is responsible for the designation cerulean cataract.

EXPRESSÃO TECIDUAL(Tecido-específico)
Ovário
8.4 TPM
Hipotálamo
3.0 TPM
Testículo
2.5 TPM
Brain Frontal Cortex BA9
1.6 TPM
Cérebro - Amígdala
1.6 TPM
OUTRAS DOENÇAS (7)
cataract 4 multiple typescataract - microcornea syndromeearly-onset nuclear cataractcerulean cataract
HGNC:2411UniProt:P07320
CRYBA2Beta-crystallin A2Candidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 42

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function.

EXPRESSÃO TECIDUAL(Tecido-específico)
Pituitária
16.8 TPM
Testículo
6.0 TPM
Pâncreas
5.4 TPM
Intestino delgado
1.7 TPM
Estômago
1.6 TPM
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (3)
cataract 42early-onset anterior polar cataractearly-onset nuclear cataract
HGNC:2395UniProt:P53672
CRYBB1Beta-crystallin B1Candidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 17, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT17 includes nuclear and pulverulent cataracts, among others. Nuclear cataracts affect the central nucleus of the eye, are often not highly visually significant. The density of the opacities varies greatly from fine dots to a dense, white and chalk-like, central cataract. The condition is usually bilateral. Nuclear cataracts are often combined with opacified cortical fibers encircling the nuclear opacity, which are referred to as cortical riders. Pulverulent cataracts are characterized by a dust-like, 'pulverised' appearance of the opacities which can be found in any part of the lens.

EXPRESSÃO TECIDUAL(Baixa expressão)
Baço
2.4 TPM
Brain Frontal Cortex BA9
2.0 TPM
Córtex cerebral
1.7 TPM
Adipose Visceral Omentum
1.6 TPM
Tecido adiposo
1.3 TPM
OUTRAS DOENÇAS (4)
cataract 17 multiple typesearly-onset nuclear cataractpulverulent cataractcataract - microcornea syndrome
HGNC:2397UniProt:P53674
CHMP4BCharged multivesicular body protein 4bCandidate gene tested inAltamente restrito
FUNÇÃO

Probable core component of the endosomal sorting required for transport complex III (ESCRT-III) which is involved in multivesicular bodies (MVBs) formation and sorting of endosomal cargo proteins into MVBs. MVBs contain intraluminal vesicles (ILVs) that are generated by invagination and scission from the limiting membrane of the endosome and mostly are delivered to lysosomes enabling degradation of membrane proteins, such as stimulated growth factor receptors, lysosomal enzymes and lipids. The M

LOCALIZAÇÃO

Cytoplasm, cytosolLate endosome membraneMidbodyNucleus envelope

VIAS BIOLÓGICAS (1)
Late endosomal microautophagy
MECANISMO DE DOENÇA

Cataract 31, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT31 includes posterior polar, progressive posterior subcapsular, nuclear, and anterior subcapsular cataracts.

OUTRAS DOENÇAS (3)
cataract 31 multiple typesearly-onset posterior subcapsular cataractearly-onset posterior polar cataract
HGNC:16171UniProt:Q9H444
CRYBB2Beta-crystallin B2Candidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 3, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT3 includes congenital cerulean and sutural cataract with punctate and cerulean opacities, among others. Cerulean cataract is characterized by peripheral bluish and white opacifications organized in concentric layers with occasional central lesions arranged radially. The opacities are observed in the superficial layers of the fetal nucleus as well as the adult nucleus of the lens. Involvement is usually bilateral. Visual acuity is only mildly reduced in childhood. In adulthood, the opacifications may progress, making lens extraction necessary. Histologically the lesions are described as fusiform cavities between lens fibers which contain a deeply staining granular material. Although the lesions may take on various colors, a dull blue is the most common appearance and is responsible for the designation cerulean cataract. Sutural cataract with punctate and cerulean opacities is characterized by white opacification around the anterior and posterior Y sutures, and grayish and bluish, spindle shaped, oval punctate and cerulean opacities of various sizes arranged in lamellar form. The spots are more concentrated towards the peripheral layers and do not delineate the embryonal or fetal nucleus. Phenotypic variation with respect to the size and density of the sutural opacities as well as the number and position of punctate and cerulean spots is observed among affected subjects.

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
3.7 TPM
Pituitária
2.0 TPM
Tireoide
1.9 TPM
Brain Nucleus accumbens basal ganglia
1.6 TPM
Hipocampo
1.3 TPM
OUTRAS DOENÇAS (8)
cataract 3 multiple typestotal early-onset cataractpulverulent cataractcerulean cataract
HGNC:2398UniProt:P43320
EPHA2Ephrin type-A receptor 2Candidate gene tested inTolerante
FUNÇÃO

Receptor tyrosine kinase which binds promiscuously membrane-bound ephrin-A family ligands residing on adjacent cells, leading to contact-dependent bidirectional signaling into neighboring cells. The signaling pathway downstream of the receptor is referred to as forward signaling while the signaling pathway downstream of the ephrin ligand is referred to as reverse signaling. Activated by the ligand ephrin-A1/EFNA1 regulates migration, integrin-mediated adhesion, proliferation and differentiation

LOCALIZAÇÃO

Cell membraneCell projection, ruffle membraneCell projection, lamellipodium membraneCell junction, focal adhesion

VIAS BIOLÓGICAS (10)
EPH-ephrin mediated repulsion of cellsEPH-Ephrin signalingRND1 GTPase cycleRHOU GTPase cycleRAC3 GTPase cycle
MECANISMO DE DOENÇA

Cataract 6, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT6 includes posterior polar and age-related cortical cataracts, among others. Posterior polar cataract is a subcapsular opacity, usually disk-shaped, located at the back of the lens. Age-related cortical cataract is a developmental punctate opacity restricted to the cortex. The cataract is white or cerulean, increases in number with age, but rarely affects vision.

EXPRESSÃO TECIDUAL(Ubíquo)
Esôfago - Mucosa
197.6 TPM
Vagina
101.4 TPM
Skin Not Sun Exposed Suprapubic
61.9 TPM
Skin Sun Exposed Lower leg
57.3 TPM
Nervo tibial
41.7 TPM
OUTRAS DOENÇAS (5)
cataract 6 multiple typestotal early-onset cataractearly-onset posterior polar cataractearly-onset nuclear cataract
HGNC:3386UniProt:P29317
GJA3Gap junction alpha-3 proteinCandidate gene tested inDesconhecido
FUNÇÃO

Structural component of lens fiber gap junctions (PubMed:30044662). Gap junctions are dodecameric channels that connect the cytoplasm of adjoining cells (By similarity). They are formed by the docking of two hexameric hemichannels, one from each cell membrane. Small molecules and ions diffuse from one cell to a neighboring cell via the central pore (PubMed:30044662)

LOCALIZAÇÃO

Cell membraneCell junction, gap junction

VIAS BIOLÓGICAS (1)
Gap junction assembly
MECANISMO DE DOENÇA

Cataract 14, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT14 includes zonular pulverulent cataract, among others. Zonular or lamellar cataracts are opacities, broad or narrow, usually consisting of powdery white dots affecting only certain layers or zones between the cortex and nucleus of an otherwise clear lens. The opacity may be so dense as to render the entire central region of the lens completely opaque, or so translucent that vision is hardly if at all impeded. Usually sharply separated from a clear cortex outside them, they may have projections from their outer edges known as riders or spokes.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Baixa expressão)
Coração - Ventrículo esquerdo
4.1 TPM
Coração - Átrio
2.4 TPM
Artéria coronária
2.3 TPM
Testículo
2.1 TPM
Linfócitos
1.0 TPM
OUTRAS DOENÇAS (4)
cataract 14 multiple typesearly-onset nuclear cataractearly-onset posterior polar cataractpulverulent cataract
HGNC:4277UniProt:Q9Y6H8
PANK44'-phosphopantetheine phosphataseCandidate gene tested inRestrito
FUNÇÃO

Phosphatase which shows a preference for 4'-phosphopantetheine and its oxidatively damaged forms (sulfonate or S-sulfonate), providing strong indirect evidence that the phosphatase activity pre-empts damage in the coenzyme A (CoA) pathway (PubMed:27322068). Hydrolyzing excess 4'-phosphopantetheine could constitute a directed overflow mechanism to prevent its oxidation to the S-sulfonate, sulfonate, or other forms (PubMed:27322068). Hydrolyzing 4'-phosphopantetheine sulfonate or S-sulfonate would

LOCALIZAÇÃO

Cytoplasm

VIAS BIOLÓGICAS (1)
Vitamin B5 (pantothenate) metabolism
MECANISMO DE DOENÇA

Cataract 49

A form of cataract, an opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT49 is an autosomal dominant form characterized by congenital cataract located in the posterior region of the lens. Visual impairment has onset in early childhood.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
29.8 TPM
Cérebro - Hemisfério cerebelar
28.7 TPM
Útero
22.2 TPM
Tireoide
21.8 TPM
Pituitária
21.4 TPM
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (2)
cataract 49early-onset posterior polar cataract
HGNC:19366UniProt:Q9NVE7
CRYBB3Beta-crystallin B3Candidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 22, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT22 includes nuclear cataract among others. Nuclear cataracts affect the central nucleus of the eye, and are often not highly visually significant. The density of the opacities varies greatly from fine dots to a dense, white and chalk-like, central cataract. The condition is usually bilateral. Nuclear cataracts are often combined with opacified cortical fibers encircling the nuclear opacity, which are referred to as cortical riders.

EXPRESSÃO TECIDUAL(Baixa expressão)
Tireoide
3.0 TPM
Próstata
1.9 TPM
Fígado
1.3 TPM
Vagina
1.2 TPM
Rim - Córtex
1.2 TPM
OUTRAS DOENÇAS (3)
cataract 22 multiple typesearly-onset anterior polar cataractearly-onset nuclear cataract
HGNC:2400UniProt:P26998
WFS1WolframinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Participates in the regulation of cellular Ca(2+) homeostasis, at least partly, by modulating the filling state of the endoplasmic reticulum Ca(2+) store (PubMed:16989814). Negatively regulates the ER stress response and positively regulates the stability of V-ATPase subunits ATP6V1A and ATP1B1 by preventing their degradation through an unknown proteasome-independent mechanism (PubMed:23035048)

LOCALIZAÇÃO

Endoplasmic reticulum membraneCytoplasmic vesicle, secretory vesicle

VIAS BIOLÓGICAS (2)
Post-translational protein phosphorylationRegulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
MECANISMO DE DOENÇA

Wolfram syndrome 1

A rare disorder characterized by juvenile-onset insulin-dependent diabetes mellitus with optic atrophy. Other manifestations include diabetes insipidus, sensorineural deafness, dementia, psychiatric illnesses.

EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
209.9 TPM
Útero
191.1 TPM
Aorta
160.6 TPM
Fallopian Tube
157.4 TPM
Artéria tibial
151.6 TPM
OUTRAS DOENÇAS (8)
Wolfram syndrome 1Wolfram-like syndromeautosomal dominant nonsyndromic hearing loss 6cataract 41
HGNC:12762UniProt:O76024
MAFTranscription factor MafCandidate gene tested inModerado
FUNÇÃO

Acts as a transcriptional activator or repressor. Involved in embryonic lens fiber cell development. Recruits the transcriptional coactivators CREBBP and/or EP300 to crystallin promoters leading to up-regulation of crystallin gene during lens fiber cell differentiation. Activates the expression of IL4 in T helper 2 (Th2) cells. Increases T-cell susceptibility to apoptosis by interacting with MYB and decreasing BCL2 expression. Together with PAX6, transactivates strongly the glucagon gene promote

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (1)
RUNX2 regulates osteoblast differentiation
EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
81.0 TPM
Skin Sun Exposed Lower leg
79.4 TPM
Nervo tibial
76.4 TPM
Cervix Endocervix
74.9 TPM
Skin Not Sun Exposed Suprapubic
71.0 TPM
OUTRAS DOENÇAS (6)
Ayme-Gripp syndromecataract 21 multiple typescerulean cataractpulverulent cataract
HGNC:6776UniProt:O75444
MIPLens fiber major intrinsic proteinCandidate gene tested inTolerante
FUNÇÃO

Aquaporins form homotetrameric transmembrane channels, with each monomer independently mediating water transport across the plasma membrane along its osmotic gradient (PubMed:11001937, PubMed:24120416). Specifically expressed in lens fiber cells, this aquaporin is crucial for maintaining lens water homeostasis and transparency. Beyond water permeability, it also acts as a cell-to-cell adhesion molecule, forming thin junctions between lens fiber cells that are essential for maintaining the ordere

LOCALIZAÇÃO

Cell membraneCell junction

VIAS BIOLÓGICAS (1)
Passive transport by Aquaporins
MECANISMO DE DOENÇA

Cataract 15, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT15 includes polymorphic, progressive punctate lamellar, cortical, anterior and posterior polar, nonprogressive lamellar with sutural opacities, embryonic nuclear, and pulverulent cortical, among others.

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
2.1 TPM
Fígado
0.5 TPM
Hipotálamo
0.2 TPM
Brain Spinal cord cervical c-1
0.2 TPM
Brain Frontal Cortex BA9
0.2 TPM
OUTRAS DOENÇAS (7)
cataract 15 multiple typesearly-onset lamellar cataractearly-onset nuclear cataractcerulean cataract
HGNC:7103UniProt:P30301
CRYABAlpha-crystallin B chainDisease-causing germline mutation(s) inTolerante
FUNÇÃO

May contribute to the transparency and refractive index of the lens. Has chaperone-like activity, preventing aggregation of various proteins under a wide range of stress conditions. In lens epithelial cells, stabilizes the ATP6V1A protein, preventing its degradation by the proteasome (By similarity)

LOCALIZAÇÃO

CytoplasmNucleusSecretedLysosome

VIAS BIOLÓGICAS (1)
HSF1-dependent transactivation
MECANISMO DE DOENÇA

Myopathy, myofibrillar, 2A, adult-onset

A form of myofibrillar myopathy, a group of chronic neuromuscular disorders characterized at ultrastructural level by disintegration of the sarcomeric Z disk and myofibrils, and replacement of the normal myofibrillar markings by small dense granules, or larger hyaline masses, or amorphous material. MFM2A is an autosomal dominant form characterized by weakness of the proximal and distal limb muscles, weakness of the neck, velopharynx and trunk muscles, respiratory insufficiency, hypertrophic cardiomyopathy, and cataract.

EXPRESSÃO TECIDUAL(Ubíquo)
Coração - Ventrículo esquerdo
1863.3 TPM
Brain Spinal cord cervical c-1
1663.2 TPM
Coração - Átrio
1591.1 TPM
Músculo esquelético
1435.1 TPM
Nervo tibial
1093.8 TPM
OUTRAS DOENÇAS (8)
fatal infantile hypertonic myofibrillar myopathymyofibrillar myopathy 2dilated cardiomyopathy 1IIcataract 16 multiple types
HGNC:2389UniProt:P02511
CRYBA1Beta-crystallin A3Candidate gene tested inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 10, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT10 includes congenital zonular with sutural opacities, among others. This is a form of zonular cataract with an erect Y-shaped anterior and an inverted Y-shaped posterior sutural opacities. Zonular or lamellar cataracts are opacities, broad or narrow, usually consisting of powdery white dots affecting only certain layers or zones between the cortex and nucleus of an otherwise clear lens. The opacity may be so dense as to render the entire central region of the lens completely opaque, or so translucent that vision is hardly if at all impeded. Zonular cataracts generally do not involve the embryonic nucleus, though sometimes they involve the fetal nucleus. Usually sharply separated from a clear cortex outside them, they may have projections from their outer edges known as riders or spokes.

EXPRESSÃO TECIDUAL(Não detectado)
Testículo
0.3 TPM
Cérebro - Hemisfério cerebelar
0.2 TPM
Baço
0.2 TPM
Pulmão
0.2 TPM
Aorta
0.2 TPM
OUTRAS DOENÇAS (5)
cataract 10 multiple typesearly-onset lamellar cataractearly-onset nuclear cataractearly-onset posterior polar cataract
HGNC:2394UniProt:P05813
LEMD2LEM domain-containing protein 2Candidate gene tested inTolerante
FUNÇÃO

Nuclear lamina-associated inner nuclear membrane protein that is involved in nuclear structure organization, maintenance of nuclear envelope (NE) integrity and NE reformation after mitosis (PubMed:16339967, PubMed:17097643, PubMed:28242692, PubMed:32494070). Plays a role as transmembrane adapter for the endosomal sorting complexes required for transport (ESCRT), and is thereby involved in ESCRT-mediated NE reformation (PubMed:28242692, PubMed:32494070). Promotes ESCRT-mediated NE closure by recr

LOCALIZAÇÃO

Nucleus inner membraneNucleus envelopeCytoplasm, cytoskeleton, spindle

VIAS BIOLÓGICAS (4)
Sealing of the nuclear envelope (NE) by ESCRT-IIIInitiation of Nuclear Envelope (NE) ReformationNuclear Envelope BreakdownDepolymerization of the Nuclear Lamina
MECANISMO DE DOENÇA

Cataract 46, juvenile-onset, with or without arrhythmic cardiomyopathy

A form of cataract, an opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT46 can be associated with variable onset of a severe form of arrhythmic cardiomyopathy resulting in sudden cardiac death.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
71.2 TPM
Cérebro - Hemisfério cerebelar
70.2 TPM
Cervix Endocervix
64.7 TPM
Útero
61.0 TPM
Fallopian Tube
60.9 TPM
OUTRAS DOENÇAS (4)
Marbach-Rustad progeroid syndromecataract 46 juvenile-onsetearly-onset posterior subcapsular cataracttotal early-onset cataract
HGNC:21244UniProt:Q8NC56
BFSP1FilensinCandidate gene tested inTolerante
FUNÇÃO

Required for the correct formation of lens intermediate filaments as part of a complex composed of BFSP1, BFSP2 and CRYAA (PubMed:28935373). Involved in altering the calcium regulation of MIP water permeability (PubMed:30790544)

LOCALIZAÇÃO

Cell membraneCytoplasmCytoplasm, cytoskeletonCytoplasm, cell cortex

MECANISMO DE DOENÇA

Cataract 33, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT33 has juvenile-onset and the opacities are restricted to the cortex of the lens, not involving the nucleus.

OUTRAS DOENÇAS (2)
cataract 33early-onset nuclear cataract
HGNC:1040UniProt:Q12934
FYCO1FYVE and coiled-coil domain-containing protein 1Candidate gene tested inTolerante
FUNÇÃO

May mediate microtubule plus end-directed vesicle transport

LOCALIZAÇÃO

Cytoplasmic vesicle, autophagosomeEndosomeLysosome

MECANISMO DE DOENÇA

Cataract 18

An opacification of the crystalline lens of the eye becoming evident at birth or in infancy. It frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function.

EXPRESSÃO TECIDUAL(Ubíquo)
Músculo esquelético
74.0 TPM
Artéria tibial
72.6 TPM
Cólon sigmoide
54.7 TPM
Aorta
54.4 TPM
Artéria coronária
48.4 TPM
OUTRAS DOENÇAS (3)
cataract 18early-onset nuclear cataracttotal early-onset cataract
HGNC:14673UniProt:Q9BQS8
GJA8Gap junction alpha-8 proteinCandidate gene tested inTolerante
FUNÇÃO

Structural component of eye lens gap junctions (PubMed:18006672, PubMed:19756179). Gap junctions are dodecameric channels that connect the cytoplasm of adjoining cells. They are formed by the docking of two hexameric hemichannels, one from each cell membrane (By similarity). Small molecules and ions diffuse from one cell to a neighboring cell via the central pore (PubMed:18006672, PubMed:19756179)

LOCALIZAÇÃO

Cell membraneCell junction, gap junction

VIAS BIOLÓGICAS (1)
Gap junction assembly
MECANISMO DE DOENÇA

Cataract 1, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT1 includes congenital, zonular pulverulent, nuclear progressive, nuclear pulverulent, nuclear total, total, and posterior subcapsular types of cataract. Zonular or lamellar cataracts are opacities, broad or narrow, usually consisting of powdery white dots affecting only certain layers or zones between the cortex and nucleus of an otherwise clear lens. The opacity may be so dense as to render the entire central region of the lens completely opaque, or so translucent that vision is hardly if at all impeded. Zonular cataracts generally do not involve the embryonic nucleus, though sometimes they involve the fetal nucleus. Usually sharply separated from a clear cortex outside them, they may have projections from their outer edges known as riders or spokes. In some cases cataract is associated with microcornea without any other systemic anomaly or dysmorphism. Microcornea is defined by a corneal diameter inferior to 10 mm in both meridians in an otherwise normal eye.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Tecido-específico)
Testículo
12.9 TPM
Rim - Córtex
0.0 TPM
Rim - Medula
0.0 TPM
OUTRAS DOENÇAS (7)
cataract 1 multiple typescataract - microcornea syndromepulverulent cataractsclerocornea
HGNC:4281UniProt:P48165
HSF4Heat shock factor protein 4Candidate gene tested inTolerante
FUNÇÃO

Heat-shock transcription factor that specifically binds heat shock promoter elements (HSE) (PubMed:22587838, PubMed:23507146). Required for denucleation and organelle rupture and degradation that occur during eye lens terminal differentiation, when fiber cells that compose the lens degrade all membrane-bound organelles in order to provide lens with transparency to allow the passage of light (By similarity). In this process, may regulate denucleation of lens fiber cells in part by activating DNAS

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Cataract 5, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT5 includes infantile, lamellar, zonular, nuclear, anterior polar, stellate, and Marner-type cataracts, among others. Finger malformation is observed in some kindreds.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
150.5 TPM
Cérebro - Hemisfério cerebelar
137.8 TPM
Pituitária
136.0 TPM
Próstata
108.1 TPM
Fallopian Tube
103.8 TPM
OUTRAS DOENÇAS (3)
cataract 5 multiple typesearly-onset lamellar cataracttotal early-onset cataract
HGNC:5227UniProt:Q9ULV5

Variantes genéticas (ClinVar)

507 variantes patogênicas registradas no ClinVar.

🧬 HSF4: NM_001374675.1(HSF4):c.897del (p.Asp302fs) ()
🧬 HSF4: NM_001374675.1(HSF4):c.53C>T (p.Pro18Leu) ()
🧬 HSF4: GRCh37/hg19 16q11.2-24.3(chr16:46432879-90294753)x3 ()
🧬 HSF4: NM_001374675.1(HSF4):c.117_123+3del ()
🧬 HSF4: NM_001374675.1(HSF4):c.536dup (p.Gln180fs) ()
Ver todas no ClinVar

Vias biológicas (Reactome)

43 vias biológicas associadas aos genes desta condição.

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

The Status of Vernier Acuity Following Late Sight Onset.

Developmental science2025 Mar

We possess a remarkably acute ability to detect even small misalignments between extended line segments. This "vernier acuity" significantly exceeds our "resolution acuity"-the ability to resolve closely separated stimuli-and is generally considered a "hyperacuity," since the detectable misalignments are markedly finer than the diameter of single retinal cones. Vernier acuity has, thus, often been proposed to reflect spatial organization and multi-unit cortical processing, rendering it an important index of visual function. Notably, vernier acuity exhibits a characteristic developmental signature: it is inferior to resolution acuity early in life but eventually exceeds it by up to one order of magnitude. However, vernier acuity may be disproportionately sensitive to developmental disruptions. Here, we examined the resilience of acquiring this visual proficiency to early-onset, prolonged deprivation by longitudinally tracking vernier and resolution acuities in children with dense congenital cataracts who gained sight late in life as part of Project Prakash. Our data reveal marked longitudinal improvements in both acuity measures and also demonstrate that, like the normally-sighted, late-sighted individuals' vernier acuity exceeds their resolution acuity, thereby rendering it a hyperacuity. However, the extent of this hyperacuity is weaker than observed in normally-sighted controls, pointing to partial limitations in postsurgical skill acquisition. Despite these constraints, our findings point to the feasibility of forming some integrative circuits in the visual system even when inputs are severely compromised, and to the availability of some residual plasticity late in childhood, with implications for the rehabilitation prospects of children following treatment for congenital cataracts.

#2

Cataract-prone variants of γD-crystallin populate a conformation with a partially unfolded N-terminal domain under native conditions.

Proceedings of the National Academy of Sciences of the United States of America2025 Feb 11

Human γD-crystallin, a monomeric protein abundant in the eye lens nucleus, must remain stably folded for an individual's entire lifetime to avoid aggregation and protein deposition-associated cataract formation. γD-crystallin contains two homologous domains, an N-terminal domain (NTD) and a C-terminal domain (CTD), which interact via a hydrophobic interface. Several familial mutations in the gamma crystallin gene are linked to congenital early-onset cataract, most of which affect the NTD. Some of these, including V75D and W42R, are known to populate intermediates under partially denaturing conditions possessing a natively folded CTD and a completely unfolded NTD. We employed hydrogen-deuterium exchange mass spectrometry to probe the structural and energetic features of variants of γD-crystallin under both native and partially denaturing conditions. For V75D and W42R, we identify a species under native conditions that retains partial structure in the NTD and is structurally and energetically distinct from the intermediate populated under partially denaturing conditions. Residues at the NTD-CTD interface play crucial roles in stabilizing this intermediate, and disruption of interface contacts either by amino acid substitution or partial denaturation permits direct observation of two intermediates simultaneously. These data suggest that the intermediate identified under native conditions is accessed from the native state and not on the folding pathway. The intermediate we have identified here exposes hydrophobic amino acids that are buried in both the folded full-length protein and in the protein's stable isolated domains. Such nonnative exposure of a hydrophobic patch may play an important role in cataract formation.

#3

A novel ADAMTSL4 compound heterozygous mutation in isolated ectopia lentis: a case report and review of the literature.

Journal of medical case reports2023 Dec 26

Congenital ectopia lentis is characterized by dislocation of the lens caused by partial or complete abnormalities in the zonular fibers. It can be caused by either systemic diseases or isolated ocular diseases. Gene detection techniques can provide valuable information when an etiological diagnosis is challenging. Herein, we report the case of a six-year-old girl with a confirmed diagnosis of isolated ectopia lentis caused by a compound heterozygous ADAMTSL4 gene mutation. The patient was a 6-year-old Chinese Han girl with strabismus in the right eye. Slit lamp examination revealed that the lens in the right eye was opacified and dislocated, without an ectopic pupil. Gene detection demonstrated the presence of a compound heterozygous mutation in the ADAMTSL4 gene [c. 2270dupG (p.Gly758Trpfs *59) and c. 2110A > G (p.Ser704Gly)], and the diagnosis of isolated ectopia lentis was confirmed. She underwent lens extraction, and a sutured scleral-fixated posterior chamber intraocular lens (IOL) was placed in the right eye. The best-corrected visual acuity was 0.1 one month postoperatively. Gene detection plays a crucial role in diagnosing disorders with similar symptoms, such as isolated ectopia lentis and Marfan syndrome. In this study, we used whole exons sequencing to diagnose isolated ectopia lentis and identified the variant c.2110A > G (p.Ser704Gly), which may be associated with the development of ectopia lentis and early-onset cataract in the patient. These pathogenic gene mutations have significant implications for the genetic diagnosis of congenital ectopia lentis, treatment, surveillance, and hereditary and prenatal counseling for the patient and their family members.

#4

Refractive Lens Exchange Surgery in Early-Onset High Myopia Patients With Partial Cataract.

Frontiers in medicine2022

By reporting clinical characteristics and retinal image quality before and after refractive lens replacement surgery in early-onset high myopia (eoHM) patients presenting with partial cataract, we emphasized the need for an objective way to grade the severity of partial cataracts. This retrospective, consecutive case series included six Chinese patients (nine eyes). Analysis of previous medical records, visual acuity, optometry, retinal image quality, and axial length (AXL) before surgery and after surgery was performed. Five females and one male (nine eyes) with a mean (± SD) age of 11.6 ± 7.9 years (range: 4-25 years) were included in this study. The preoperative spherical power ranged from -7.5 to -42 D. The mean follow-up time was 36 months (range: 24-48 months). Phacoemulsification was followed by in-the-bag implantation of intraocular lens. For patients who were under 6 years old, posterior capsulotomy + anterior vitrectomy were performed simultaneously. All surgeries were uneventful and no postoperative complications occurred during the entire follow-up period. All patients' uncorrected visual acuity improved by ≥2 lines postoperatively(Snellen acuity). LogMAR best-corrected visual acuity was improved at 24-month (P = 0.042) and endpoint (P = 0.046) follow-ups. Modulation transfer function cutoff frequency (MTFcutoff) and objective scatter index (OSI) was significantly improved at 12-month (P = 0.025, P = 0.038), 24-month (P = 0.005, P = 0.007) and endpoint (P = 0.005, P = 0.008) follow-ups. Postoperative AXL remained stable during 2-4 year follow-ups (P > 0.05). Refractive lens replacement surgery is safe and effective for improving functional vision in eoHM patients presenting with partial cataract. Retinal image quality could provide a useful and objective way to facilitate partial cataract severity evaluation and surgery decision making.

#5

Outcomes of Primary Combined Trabeculotomy and Trabeculectomy in Early-Onset Glaucoma in Children with Congenital Aniridia.

Ophthalmology. Glaucoma2021

To report clinical features and treatment outcomes of primary combined trabeculotomy with trabeculectomy (CTT) in congenital aniridia with glaucoma in children 3 years of age or younger. Retrospective study. Sixty-six eyes of 35 children with congenital aniridia and early-onset glaucoma who underwent CTT between May 1997 and June 2015 were included. Success was defined as complete when intraocular pressure (IOP) was more than 5 mmHg and less than or equal to 21 or 16 mmHg without antiglaucoma medications (AGMs), and qualified when AGMs were required. Eyes needing repeat surgery for IOP control were considered as failures. IOP control and number of AGMs. The median age at presentation of 35 children was 26 days (interquartile range [IQR], 7-106 days). There were 22 males (62.9%) and 13 females (37.1%). Parental consanguinity was noted in 11 children (31.4%). Aniridia was total in 52 eyes and partial in 14 eyes. At presentation, there was corneal edema in 30 eyes (45.4%), enlarged corneal diameter in 32 eyes (48.5%), nystagmus in 15 children (23%), limbal stem cell deficiency in 1 eye, cataract in 9 eyes (13.6%), and foveal hypoplasia in 4 eyes. After CTT, median IOP was reduced significantly (P < 0.0001). Corneal edema cleared in 12/30 eyes and cleared with scar in 18/30 eyes. Median follow-up was 5.33 (IQR, 3.05-7.59) years. At latest follow-up, median number of AGMs was 1 (IQR, 0-2) and median visual acuity in logarithm of minimum angle of resolutions (n = 34 eyes) was 1.35 (IQR, 0.80-2.78). The probability of complete success for IOP ≤ 21 mmHg was 79.9% at 1 year and 62.3% between 2 and 10 years; for IOP ≤ 16 mmHg, it was 78.6% at 1 year and decreased to 51.9% at 10 years. Qualified success for IOP ≤ 21 mmHg at 1 year was 82.6% and 81% over 10 years; for IOP ≤ 16 mmHg, it was 81.4% at 1 year and decreased to 63.1% at 10 years. Seven eyes (10.6%) required repeat intervention for IOP control with median time of 3.17 years (IQR, 0.92-6.56) from first surgery. CTT showed good success in children with congenital aniridia with early-onset glaucoma.

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. The Status of Vernier Acuity Following Late Sight Onset.
    Developmental science· 2025· PMID 39907167mais citado
  2. Cataract-prone variants of &#x3b3;D-crystallin populate a conformation with a partially unfolded N-terminal domain under native conditions.
    Proceedings of the National Academy of Sciences of the United States of America· 2025· PMID 39899721mais citado
  3. A novel ADAMTSL4 compound heterozygous mutation in isolated ectopia lentis: a case report and review of the literature.
    Journal of medical case reports· 2023· PMID 38146062mais citado
  4. Refractive Lens Exchange Surgery in Early-Onset High Myopia Patients With Partial Cataract.
    Frontiers in medicine· 2022· PMID 35492336mais citado
  5. Outcomes of Primary Combined Trabeculotomy and Trabeculectomy in Early-Onset Glaucoma in Children with Congenital Aniridia.
    Ophthalmology. Glaucoma· 2021· PMID 32966898mais citado
  6. Effect of early versus late onset of partial visual loss on judgments of auditory distance.
    Optom Vis Sci· 2024· PMID 38990237recente
  7. Search for distinctive markers in DNT and cortical grade II glioma in children: same clinicopathological and molecular entities?
    Curr Top Med Chem· 2012· PMID 22978341recente
  8. Ring 14 chromosome presenting as early-onset isolated partial epilepsy.
    Dev Med Child Neurol· 2009· PMID 19416318recente
  9. Partial epilepsy syndrome in a Gypsy family linked to 5q31.3-q32.
    Epilepsia· 2009· PMID 19400876recente
  10. Mental retardation subsequent to refractory partial seizures in infancy.
    Brain Dev· 2000· PMID 10761831recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:98992(Orphanet)
  2. MONDO:0020377(MONDO)
  3. GARD:16888(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q56014425(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

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Catarata parcial de início precoce
Compêndio · Raras BR

Catarata parcial de início precoce

ORPHA:98992 · MONDO:0020377
CID-10
Q12.0 · Catarata congênita
CID-11
Início
Infancy, Neonatal
MedGen
UMLS
C5681643
Wikidata
DiscussaoAtiva

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