Raras
Buscar doenças, sintomas, genes...
Glaucoma congênito
ORPHA:98976CID-10 · Q15.0CID-11 · 9C61.40OMIM 231300DOENÇA RARA

Forma autossômica recessiva de glaucoma congênito causada por mutação(ões) no gene CYP1B1, que codifica o citocromo P450 1B1.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

Forma autossômica recessiva de glaucoma congênito causada por mutação(ões) no gene CYP1B1, que codifica o citocromo P450 1B1.

Pesquisas ativas
3 ensaios
37 total registrados no ClinicalTrials.gov
Publicações científicas
2.220 artigos
Último publicado: 2026 Apr 15

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Europe
Início
Infancy
+ neonatal
🏥
SUS: Cobertura mínimaScore: 35%
Centros em: PR, PA, PE, BA, CE +10CID-10: Q15.0
🇧🇷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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Sinais e sintomas

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

Características mais comuns

90%prev.
Glaucoma
Muito frequente (99-80%)
90%prev.
Edema estromal da córnea
Muito frequente (99-80%)
55%prev.
Hipertensão ocular
Frequente (79-30%)
55%prev.
Buftalmia
Frequente (79-30%)
55%prev.
Espessura escleral anterior reduzida
Frequente (79-30%)
55%prev.
Megalocórnea
Frequente (79-30%)
22sintomas
Muito frequente (2)
Frequente (11)
Ocasional (6)
Sem dados (3)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 22 características clínicas mais associadas, ordenadas por frequência.

Glaucoma
Muito frequente (99-80%)90%
Edema estromal da córneaCorneal stromal edema
Muito frequente (99-80%)90%
Hipertensão ocularOcular hypertension
Frequente (79-30%)55%
BuftalmiaBuphthalmos
Frequente (79-30%)55%
Espessura escleral anterior reduzidaReduced anterior scleral thickness
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico2.220PubMed
Últimos 10 anos200publicações
Pico2025101 papers
Linha do tempo
2026Hoje · 2026🧪 1977Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

4 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive, Not applicable.

CYP1B1Cytochrome P450 1B1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

A cytochrome P450 monooxygenase involved in the metabolism of various endogenous substrates, including fatty acids, steroid hormones and vitamins (PubMed:10681376, PubMed:11555828, PubMed:12865317, PubMed:15258110, PubMed:20972997). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (NADPH--hemoprotein reductase) (PubMed:10681376, PubMed:11555828, PubM

LOCALIZAÇÃO

Endoplasmic reticulum membraneMicrosome membraneMitochondrion

VIAS BIOLÓGICAS (3)
Endogenous sterolsSynthesis of (16-20)-hydroxyeicosatetraenoic acids (HETE)Synthesis of epoxy (EET) and dihydroxyeicosatrienoic acids (DHET)
MECANISMO DE DOENÇA

Anterior segment dysgenesis 6

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. ASGD6 patients predominantly manifest Peters anomaly. Peters anomaly consists of corneal leukoma, defects in the posterior structures of the cornea such as absence of the posterior corneal stroma and Descemet membrane, and a variable degree of iridocorneal and/or keratolenticular adhesions. Over 50% of patients develop glaucoma in childhood.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
100.0 TPM
Cervix Endocervix
66.1 TPM
Fibroblastos
62.9 TPM
Fallopian Tube
58.5 TPM
Útero
53.7 TPM
OUTRAS DOENÇAS (5)
glaucoma 3Aanterior segment dysgenesis 6CYP1B1-related glaucoma with or without anterior segment dysgenesisjuvenile open angle glaucoma
HGNC:2597UniProt:Q16678
TEKAngiopoietin-1 receptorDisease-causing germline mutation(s) (loss of function) inAltamente restrito
FUNÇÃO

Tyrosine-protein kinase that acts as a cell-surface receptor for ANGPT1, ANGPT2 and ANGPT4 and regulates angiogenesis, endothelial cell survival, proliferation, migration, adhesion and cell spreading, reorganization of the actin cytoskeleton, but also maintenance of vascular quiescence. Has anti-inflammatory effects by preventing the leakage of pro-inflammatory plasma proteins and leukocytes from blood vessels. Required for normal angiogenesis and heart development during embryogenesis. Required

LOCALIZAÇÃO

Cell membraneCell junctionCell junction, focal adhesionCytoplasm, cytoskeletonSecreted

VIAS BIOLÓGICAS (1)
Tie2 Signaling
MECANISMO DE DOENÇA

Dominantly inherited venous malformations

An error of vascular morphogenesis characterized by dilated, serpiginous channels.

EXPRESSÃO TECIDUAL(Ubíquo)
Pulmão
50.7 TPM
Tecido adiposo
32.6 TPM
Adipose Visceral Omentum
26.4 TPM
Mama
23.4 TPM
Tireoide
21.8 TPM
OUTRAS DOENÇAS (4)
multiple cutaneous and mucosal venous malformationsglaucoma 3, primary congenital, Eblue rubber bleb nevusglaucoma 3A
HGNC:11724UniProt:Q02763
MYOCMyocilinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Secreted glycoprotein regulating the activation of different signaling pathways in adjacent cells to control different processes including cell adhesion, cell-matrix adhesion, cytoskeleton organization and cell migration. Promotes substrate adhesion, spreading and formation of focal contacts. Negatively regulates cell-matrix adhesion and stress fiber assembly through Rho protein signal transduction. Modulates the organization of actin cytoskeleton by stimulating the formation of stress fibers th

LOCALIZAÇÃO

SecretedGolgi apparatusCytoplasmic vesicleSecreted, extracellular spaceSecreted, extracellular space, extracellular matrixSecreted, extracellular exosomeMitochondrionMitochondrion intermembrane spaceMitochondrion inner membraneMitochondrion outer membraneRough endoplasmic reticulumCell projectionCell projection, ciliumEndoplasmic reticulum

VIAS BIOLÓGICAS (1)
Cardiogenesis
MECANISMO DE DOENÇA

Glaucoma 1, open angle, A

A form of primary open angle glaucoma (POAG). POAG is characterized by a specific pattern of optic nerve and visual field defects. The angle of the anterior chamber of the eye is open, and usually the intraocular pressure is increased. However, glaucoma can occur at any intraocular pressure. The disease is generally asymptomatic until the late stages, by which time significant and irreversible optic nerve damage has already taken place.

EXPRESSÃO TECIDUAL(Ubíquo)
Esôfago - Junção
301.4 TPM
Nervo tibial
260.2 TPM
Esôfago - Muscular
160.0 TPM
Artéria tibial
158.8 TPM
Aorta
57.9 TPM
OUTRAS DOENÇAS (4)
glaucoma 1, open angle, Aopen-angle glaucomajuvenile open angle glaucomaglaucoma 3A
HGNC:7610UniProt:Q99972
LTBP2Latent-transforming growth factor beta-binding protein 2Disease-causing germline mutation(s) inRestrito
FUNÇÃO

May play an integral structural role in elastic-fiber architectural organization and/or assembly

LOCALIZAÇÃO

Secreted, extracellular space, extracellular matrix

VIAS BIOLÓGICAS (2)
Molecules associated with elastic fibresTGF-beta receptor signaling activates SMADs
MECANISMO DE DOENÇA

Glaucoma 3, primary congenital, D

An autosomal recessive form of primary congenital glaucoma (PCG). PCG is characterized by marked increase of intraocular pressure at birth or early childhood, large ocular globes (buphthalmos) and corneal edema. It results from developmental defects of the trabecular meshwork and anterior chamber angle of the eye that prevent adequate drainage of aqueous humor.

EXPRESSÃO TECIDUAL(Ubíquo)
Aorta
706.6 TPM
Artéria coronária
329.4 TPM
Artéria tibial
259.7 TPM
Pulmão
139.3 TPM
Tireoide
137.8 TPM
OUTRAS DOENÇAS (6)
microspherophakia and/or megalocornea, with ectopia lentis and with or without secondary glaucomaWeill-Marchesani syndrome 3glaucoma 3, primary congenital, Dglaucoma secondary to spherophakia/ectopia lentis and megalocornea
HGNC:6715UniProt:Q14767

Variantes genéticas (ClinVar)

396 variantes patogênicas registradas no ClinVar.

🧬 LTBP2: NM_000428.3(LTBP2):c.5420dup (p.Tyr1808fs) ()
🧬 LTBP2: NM_000428.3(LTBP2):c.542dup (p.Asn181fs) ()
🧬 LTBP2: NM_000428.3(LTBP2):c.1504dup (p.Leu502fs) ()
🧬 LTBP2: NM_000428.3(LTBP2):c.3523G>T (p.Glu1175Ter) ()
🧬 LTBP2: NM_000428.3(LTBP2):c.1251G>A (p.Trp417Ter) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 330 variantes classificadas pelo ClinVar.

99
33
198
Patogênica (30.0%)
VUS (10.0%)
Benigna (60.0%)
VARIANTES MAIS SIGNIFICATIVAS
CYP1B1: NM_000104.4(CYP1B1):c.625T>C (p.Cys209Arg) [Pathogenic]
CYP1B1: NM_000104.4(CYP1B1):c.1345_1347delinsAC (p.Asp449fs) [Pathogenic]
CYP1B1: NM_000104.4(CYP1B1):c.353C>G (p.Pro118Arg) [Likely pathogenic]
CYP1B1: NM_000104.4(CYP1B1):c.1568G>C (p.Arg523Thr) [Pathogenic]
CYP1B1: NM_000104.4(CYP1B1):c.3G>A (p.Met1Ile) [Likely pathogenic]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 21
·Pré-clínico19
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Glaucoma congênito

Centros de Referência SUS

24 centros habilitados pelo SUS para Glaucoma congênito

Centros para Glaucoma congênito

Detalhes dos centros

Hospital Universitário Prof. Edgard Santos (HUPES)

R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Infantil Albert Sabin

R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital de Apoio de Brasília (HAB)

AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)

Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital das Clínicas da UFG

Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Universitário da UFJF

R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442

Atenção Especializada

Rota
Anomalias Congênitas

Hospital das Clínicas da UFMG

Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Julio Müller (HUJM)

R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092

Atenção Especializada

Rota
Anomalias Congênitas

Hospital Universitário João de Barros Barreto

R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Lauro Wanderley (HULW)

R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470

Atenção Especializada

Rota
Anomalias Congênitas

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)

R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Pequeno Príncipe

R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital Universitário Regional de Maringá (HUM)

Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UFPR

R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Pedro Ernesto (HUPE-UERJ)

Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)

Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital São Lucas da PUCRS

Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital de Clínicas de Porto Alegre (HCPA)

Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário da UFSC (HU-UFSC)

R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da FMUSP

R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Base de São José do Rio Preto

Av. Brg. Faria Lima, 5544 - Vila Sao Jose, São José do Rio Preto - SP, 15090-000 · CNES 2079798

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UNICAMP

R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas de Ribeirão Preto (HCRP-USP)

R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

UNIFESP / Hospital São Paulo

R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo
Sobre os centros SUS: Estes centros são habilitados pelo Ministério da Saúde como Serviços de Referência em Doenças Raras ou Serviços de Atenção Especializada. O atendimento é pelo SUS, com encaminhamento da rede de atenção básica.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

37 ensaios clínicos encontrados, 3 ativos.

Distribuição por fase
NCT06837610 · Inverted T Trabeculectomy Primary Congenital GlaucomaAtivo
NA
NCT07504315 · Study Aim to Compare the Effect of Different Technique of Ai…Em breve
NA
NCT03016156 · Determination of the Sensitivity and Specificity of a Smartp…Encerrado
NA
NCT03077789 · Prospective Study of the Diagnostic and Therapeutic Manageme…Concluído
NA
NCT07012252 · Optical Coherence Tomography of the Irido-Corneal Angle Befo…Concluído
NA
NCT02945176 · Safety and Performance Study of the ARGOS-IO System in Patie…Concluído
NA
NCT04947124 · A Study to Determine the Safety and Tolerability of 2 Concen…Concluído
PHASE2
NCT05943184 · Cognitive Behavioral Nursing ModelConcluído
NA
NCT06189326 · Non-penetrating Deep Sclerectomy Versus Trabeculotomy- Trabe…UNKNOWN
NA
NCT04647929 · Comparison of Surgical Treatment Options for Primary Congeni…Cancelado
NA
NCT03541551 · Ologen® Collagen Matrix in Patients With Primary Congenital …Concluído
NA
NCT04949555 · Long Term Evaluation of Primary Congenital Glaucoma Manageme…UNKNOWN
NCT05205122 · Evaluation of Primary Congenital Glaucoma at Asyut Universit…UNKNOWN
NA
NCT05115708 · Kahook Dual Blade Ab-interno Trabeculotomy Versus ab Externo…UNKNOWN
NA
NCT05011747 · Viscotrabeculotomy in Pediatric Glaucoma Following Cataract …UNKNOWN
NA
NCT04709497 · Surgery for Primary Congenital Glaucoma in NeonatesUNKNOWN
NA
NCT04683289 · Visco-Circumferential-Suture-Trabeculotomy Versus Trabeculot…Concluído
NA
NCT04079725 · Iris Tissue in Primary Congenital GlaucomaUNKNOWN
NA
NCT04116450 · MicrocatheterTrabeculotomy in Primary Congenital GlaucomaConcluído
NA
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
930 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 930

#1

CaMKII-based gene therapy protects retinal ganglion cells in a broad range of disease: ischemic retinopathy and congenital glaucoma.

Molecular therapy : the journal of the American Society of Gene Therapy2026 Feb 02

Degeneration of retinal ganglion cells (RGCs) and their axons, as observed in ischemic retinopathy and glaucoma, results in irreversible vision loss. Elevated intraocular pressure (IOP) is a key factor driving these conditions, with existing treatments focused on IOP reduction often proving inadequate to halt disease progression. Here, we report that CaMKII-based gene therapy robustly protects RGCs and preserves visual function in mouse models of ischemic injury and congenital glaucoma, positioning CaMKII as a broad therapeutic target for retinal diseases driven by acute and chronic IOP elevation that damage RGCs.

#2

Comparison of 360-Degree Trabeculotomy versus Traditional Angle Surgery in Primary Congenital Glaucoma: A Systematic Review and Meta-Analysis.

Journal of glaucoma2026 Feb 23

Systematic meta-analysis demonstrates greater IOP reduction, fewer glaucoma medication use and higher surgical success rate with 360-degree trabeculotomy compared to traditional angle surgery in primary congenital glaucoma. Primary congenital glaucoma (PCG) is a rare vision threatening disorder, which can lead to blindness if untreated. The aim of the study is to compare the effectiveness of traditional angle surgery (goniotomy and rigid probe trabeculotomy) versus 360° trabeculotomy in children with PCG. A comprehensive search was conducted across PubMed, EMBASE, Scopus, Cochrane (CENTRAL), Science Direct and Clinicaltrials.gov. A total of 1740 studies were obtained from databases, and 12 studies, 3 RCTs and 9 Retrospective studies met the inclusion criteria. Mean Differences (MD) for continuous outcomes and Odds Ratios (OR) for dichotomous outcomes were analyzed. The primary outcomes were the reduction in intraocular pressure (IOP) and numbers of anti-glaucoma medications at 12 months postoperatively. Pooled analysis of 778 eyes demonstrated that 360° trabeculotomy showed significant reduction in IOP and number of anti-glaucoma medications compared to traditional angle surgery by -2.10 mmHg (-3.26,-0.94; P=0.0004, I²=55%) and -0.47 drops (-0.69, -0.25; P<0.0001, I²=55%), respectively. Compared to traditional angle surgery group, the 360° trabeculotomy group showed higher complete and qualified success rates with OR of 5.07 (3.43-7.50; P<0.0001, I²=4%) and 3.00 (1.47-6.12; P=0.003, I²=46%) respectively, and as well as, reduction in failure rate with OR of 0.18 (0.11-0.31; P<0.0001, I²=14%). No statistically significant differences were observed for post-operative axial length, change in cup/disc ratio, change in horizontal corneal diameter. 360° trabeculotomy showed greater reduction in IOP and number of anti-glaucoma medications postoperatively than traditional angle surgery with improved success and reduced failure rates.

#3

Congenital Hereditary Endothelial Dystrophy: A Review of the Molecular Pathogenesis, Genetic Basis, and Emerging Treatments.

Clinical ophthalmology (Auckland, N.Z.)2026

Congenital hereditary endothelial dystrophy (CHED) is a rare autosomal recessive disease more common in populations with high consanguinity. This review aims to provide a comprehensive overview of CHED focusing on the underlying genetic and molecular bases, listing identified mutations, and evaluating current and future therapeutic strategies. We performed a comprehensive literature review using PubMed with the keywords "Congenital hereditary endothelial dystrophy (CHED); SLC4A11 gene; Endothelial keratoplasty (EK) and pediatric corneal disease; Genetic therapy and corneal endothelial disease" from 1988 to 2025. Of the reviewed articles (n=494), English-language studies published in the last decade were prioritized and analyzed (n=107). CHED is commonly caused by biallelic SLC4A11 mutations, causing dysfunction of the corneal endothelium, progressive stromal edema, and visual loss. It typically manifests at birth or infancy as bilateral, asymmetric corneal opacification with variable severity. Although penetrating keratoplasty and EK remain the gold standards for the recovery of corneal transparency, novel therapeutics, including gene therapies and mitochondrial-targeted antioxidants, have shown promising results in preclinical studies. Emerging therapeutic strategies are likely to markedly change the current treatment of CHED with less invasive and more effective therapeutic options on the horizon.

#4

Clinicopathologic Findings of Congenital Megalocornea in Three Blue-Throated Conures (Pyrrhura cruentata).

Veterinary ophthalmology2026 Mar

To describe the first known occurrence of megalocornea in a cohort of juvenile blue-throated conures (Pyrrhura cruentata). Three genetically related juvenile blue-throated conures. The information collected included physical and ophthalmic examination findings, ocular ultrasound biomicroscopy, Micro-CT analysis, postoperative outcomes following chemical cycloablation and/or enucleation, and histopathology. Ophthalmic examinations revealed multiple congenital ocular anomalies and bilateral blindness with the predominant feature of corneal enlargement. Several eyes developed corneal edema and exposure keratitis from lagophthalmos. Ultrasound biomicroscopy (UBM) showed a globoid cornea and enlarged anterior chamber with or without anterior displacement of the lens. Micro-CT analysis revealed normal skull conformation with bilateral enlargement of the anterior segments. An initial diagnosis of presumptive congenital glaucoma with buphthalmos was made. All conures had a chemical cycloablation procedure performed in the left eye to decrease ocular size. One conure had an enucleation of its right eye (OD) due to severe corneal ulceration. Two conures were humanely euthanized due to systemic health concerns shortly after initial presentation, and one died suddenly of a suspected cardiac event 8 years later. Ocular histopathology was performed on all 6 eyes of 3 conures, confirming a diagnosis of megalocornea with secondary ulcerative keratitis, stromal attenuation, and marked fibrosis with a discontinuous Descemet's membrane. This case series represents the first documented report of congenital megalocornea in blue-throated conures, which should be considered as a differential in birds with presumed buphthalmos from glaucoma.

#5

Reduced Accommodation Without Mydriasis After Micropulse Cyclophotocoagulation in a Young Congenital Glaucoma Patient: A Case Report.

The American journal of case reports2026 Mar 04

BACKGROUND Micropulse cyclophotocoagulation (MPCPC) is a commonly used procedure to reduce intraocular pressure (IOP) in glaucoma patients. While it is generally considered safer than traditional transscleral cyclophotocoagulation (TSCPC), complications such as transient mydriasis and reduced accommodation due to short ciliary nerve damage have been reported. However, isolated loss of accommodation without pupillary involvement has not been previously documented. We report a case of reduced accommodation without pupil dilation in a young patient after MPCPC. CASE REPORT A 26-year-old woman with primary congenital glaucoma, previously treated with goniotomy and trabeculectomy, had uncontrolled intraocular pressure (IOP) despite maximum medical therapy. Her best-corrected visual acuity (BCVA) was 20/60 in the right eye and 20/300 in the left. Micropulse cyclophotocoagulation (MPCPC) was performed in the right eye, and an Ahmed glaucoma valve was placed in the left eye on the same day. The postoperative IOP was 22 mmHg in the right eye and 16 mmHg in the left eye. After 2 weeks, the patient reported blurry vision in the right eye with BCVA of 20/60 in the right eye, and the anterior segment examination was unremarkable. After 6 months, she continued to experience blurry vision at near distance in her right eye. Refraction revealed a need for glasses with a near vision add of +1.5. CONCLUSIONS This case illustrates isolated accommodative dysfunction without pupillary involvement following MPCPC in a patient with congenital glaucoma, showing the need for awareness of this potential outcome, especially in young, phakic patients with a history of ocular surgeries.

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Doenças relacionadas

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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. CaMKII-based gene therapy protects retinal ganglion cells in a broad range of disease: ischemic retinopathy and congenital glaucoma.
    Molecular therapy : the journal of the American Society of Gene Therapy· 2026· PMID 41635083mais citado
  2. Comparison of 360-Degree Trabeculotomy versus Traditional Angle Surgery in Primary Congenital Glaucoma: A Systematic Review and Meta-Analysis.
    Journal of glaucoma· 2026· PMID 41875194mais citado
  3. Congenital Hereditary Endothelial Dystrophy: A Review of the Molecular Pathogenesis, Genetic Basis, and Emerging Treatments.
    Clinical ophthalmology (Auckland, N.Z.)· 2026· PMID 41809205mais citado
  4. Clinicopathologic Findings of Congenital Megalocornea in Three Blue-Throated Conures (Pyrrhura cruentata).
    Veterinary ophthalmology· 2026· PMID 41807268mais citado
  5. Reduced Accommodation Without Mydriasis After Micropulse Cyclophotocoagulation in a Young Congenital Glaucoma Patient: A Case Report.
    The American journal of case reports· 2026· PMID 41779682mais citado
  6. Primary congenital glaucoma in a patient with CAFDADD syndrome carrying a rare TRAF7 variant.
    J Fr Ophtalmol· 2026· PMID 41990436recente
  7. A Rare Association of Congenital Glaucoma and Retinitis Pigmentosa: A 22-Year Follow-Up Case.
    Cureus· 2026· PMID 41970067recente
  8. Spontaneously arrested primary congenital glaucoma.
    Oman J Ophthalmol· 2026· PMID 41930028recente
  9. Primary congenital glaucoma in a patient with Coffin-siris syndrome type 1 due to an ARID1B mutation: a novel association.
    Ophthalmic Genet· 2026· PMID 41911953recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:98976(Orphanet)
  2. OMIM OMIM:231300(OMIM)
  3. MONDO:0009277(MONDO)
  4. GARD:18224(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q3108582(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.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Glaucoma congênito
Compêndio · Raras BR

Glaucoma congênito

ORPHA:98976 · MONDO:0009277
Prevalência
1-9 / 100 000
Herança
Autosomal dominant, Autosomal recessive, Not applicable
CID-10
Q15.0 · Glaucoma congênito
CID-11
Ensaios
3 ativos
Início
Infancy, Neonatal
Prevalência
0.0 (Europe)
MedGen
UMLS
C1533041
Repurposing
29 candidatos
aceclidineacetylcholine receptor agonist
acetazolamidecarbonic anhydrase inhibitor
apraclonidineadrenergic receptor agonist
+17 outros
EuropePMC
Wikidata
Papers 10a
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