Phenotype-genotype correlations and emerging pathways in ocular anterior segment dysgenesis.

Abstract:

:Disorders of the anterior segment of the eye encompass a variety of clinical presentations including aniridia, Axenfeld and Rieger anomalies, primary congenital glaucoma, Peters anomaly, as well as syndromal associations. These conditions have a significant impact on vision due to disruption of the visual axis, and also secondary glaucoma which occurs in over 50% of patients. Ocular anterior segment disorders occur due to a complex interplay of developmental, embryological and genetic factors, and often have phenotypic overlaps and genetic heterogeneity. Here we present a review of the clinical features and genes associated with aniridia, Axenfeld and Rieger anomalies, primary congenital glaucoma, Peters anomaly, and syndromic forms of these conditions. We also highlight phenotype-genotype correlations, recent discoveries with next-generation sequencing which broaden known phenotypes, and new anterior segment genes and pathways. We provide a guide towards genetic diagnosis for clinicians investigating patients with anterior segment dysgenesis.

journal_name

Hum Genet

journal_title

Human genetics

authors

Ma AS,Grigg JR,Jamieson RV

doi

10.1007/s00439-018-1935-7

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

899-915

issue

8-9

eissn

0340-6717

issn

1432-1203

pii

10.1007/s00439-018-1935-7

journal_volume

138

pub_type

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