Bilateral hereditary disorders of the cornea, usually autosomal dominant, which may be present at birth but more frequently develop during adolescence and progress slowly throughout life. Central macular dystrophy is transmitted as an autosomal recessive defect.
Disorder caused by loss of endothelium of the central cornea. It is characterized by hyaline endothelial outgrowths on Descemet's membrane, epithelial blisters, reduced vision, and pain.
An autosomal dominant form of hereditary corneal dystrophy due to a defect in cornea-specific KERATIN formation. Mutations in the genes that encode KERATIN-3 and KERATIN-12 have been linked to this disorder.
A heterogeneous group of inherited MYOPATHIES, characterized by wasting and weakness of the SKELETAL MUSCLE. They are categorized by the sites of MUSCLE WEAKNESS; AGE OF ONSET; and INHERITANCE PATTERNS.
A non-fibrillar collagen originally found in DESCEMET MEMBRANE. It is expressed in endothelial cell layers and in tissues undergoing active remodeling. It is heterotrimer comprised of alpha1(VIII) and alpha2(VIII) chains.
Neuromuscular disorder characterized by PROGRESSIVE MUSCULAR ATROPHY; MYOTONIA, and various multisystem atrophies. Mild INTELLECTUAL DISABILITY may also occur. Abnormal TRINUCLEOTIDE REPEAT EXPANSION in the 3' UNTRANSLATED REGIONS of DMPK PROTEIN gene is associated with Myotonic Dystrophy 1. DNA REPEAT EXPANSION of zinc finger protein-9 gene intron is associated with Myotonic Dystrophy 2.
The transparent anterior portion of the fibrous coat of the eye consisting of five layers: stratified squamous CORNEAL EPITHELIUM; BOWMAN MEMBRANE; CORNEAL STROMA; DESCEMET MEMBRANE; and mesenchymal CORNEAL ENDOTHELIUM. It serves as the first refracting medium of the eye. It is structurally continuous with the SCLERA, avascular, receiving its nourishment by permeation through spaces between the lamellae, and is innervated by the ophthalmic division of the TRIGEMINAL NERVE via the ciliary nerves and those of the surrounding conjunctiva which together form plexuses. (Cline et al., Dictionary of Visual Science, 4th ed)
An X-linked recessive muscle disease caused by an inability to synthesize DYSTROPHIN, which is involved with maintaining the integrity of the sarcolemma. Muscle fibers undergo a process that features degeneration and regeneration. Clinical manifestations include proximal weakness in the first few years of life, pseudohypertrophy, cardiomyopathy (see MYOCARDIAL DISEASES), and an increased incidence of impaired mentation. Becker muscular dystrophy is a closely related condition featuring a later onset of disease (usually adolescence) and a slowly progressive course. (Adams et al., Principles of Neurology, 6th ed, p1415)
Disorder occurring in the central or peripheral area of the cornea. The usual degree of transparency becomes relatively opaque.
The record of descent or ancestry, particularly of a particular condition or trait, indicating individual family members, their relationships, and their status with respect to the trait or condition.
A layer of the cornea. It is the basal lamina of the CORNEAL ENDOTHELIUM (from which it is secreted) separating it from the CORNEAL STROMA. It is a homogeneous structure composed of fine collagenous filaments, and slowly increases in thickness with age.
A type I keratin that is found associated with the KERATIN-3 in the CORNEA and is regarded as a marker for corneal-type epithelial differentiation. Mutations in the gene for keratin-12 have been associated with MEESMANN CORNEAL EPITHELIAL DYSTROPHY.
Macromolecular organic compounds that contain carbon, hydrogen, oxygen, nitrogen, and usually, sulfur. These macromolecules (proteins) form an intricate meshwork in which cells are embedded to construct tissues. Variations in the relative types of macromolecules and their organization determine the type of extracellular matrix, each adapted to the functional requirements of the tissue. The two main classes of macromolecules that form the extracellular matrix are: glycosaminoglycans, usually linked to proteins (proteoglycans), and fibrous proteins (e.g., COLLAGEN; ELASTIN; FIBRONECTINS; and LAMININ).
A layer of acellular matrix that lies beneath the CORNEAL EPITHELIUM and above the CORNEAL STROMA. It consists of randomly arranged COLLAGEN fibers in a condensed bed of intercellular substance. It provides stability and strength to the cornea.
Muscular Dystrophy, Animal: A group of genetic disorders causing progressive skeletal muscle weakness and degeneration, characterized by the lack of or defective dystrophin protein, which can also affect other organ systems such as heart and brain, occurring in various forms with different degrees of severity and age of onset, like Duchenne, Becker, Myotonic, Limb-Girdle, and Facioscapulohumeral types, among others.
Single layer of large flattened cells covering the surface of the cornea.
Partial or total replacement of all layers of a central portion of the cornea.
A noninflammatory, usually bilateral protrusion of the cornea, the apex being displaced downward and nasally. It occurs most commonly in females at about puberty. The cause is unknown but hereditary factors may play a role. The -conus refers to the cone shape of the corneal protrusion. (From Dorland, 27th ed)
A sulfated mucopolysaccharide initially isolated from bovine cornea. At least two types are known. Type I, found mostly in the cornea, contains D-galactose and D-glucosamine-6-O-sulfate as the repeating unit; type II, found in skeletal tissues, contains D-galactose and D-galactosamine-6-O-sulfate as the repeating unit.
Diseases in which there is a familial pattern of AMYLOIDOSIS.
The lamellated connective tissue constituting the thickest layer of the cornea between the Bowman and Descemet membranes.
Biochemical identification of mutational changes in a nucleotide sequence.
Partial or total replacement of the CORNEA from one human or animal to another.
Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations.
Descriptive terms and identifying codes for reporting medical services and procedures performed by PHYSICIANS. It is produced by the AMERICAN MEDICAL ASSOCIATION and used in insurance claim reporting for MEDICARE; MEDICAID; and private health insurance programs (From CPT 2002).
A group of disorders involving predominantly the posterior portion of the ocular fundus, due to degeneration in the sensory layer of the RETINA; RETINAL PIGMENT EPITHELIUM; BRUCH MEMBRANE; CHOROID; or a combination of these tissues.
Measurement of the thickness of the CORNEA.
An enzyme that, in the pathway of cholesterol biosynthesis, catalyzes the condensation of isopentenyl pyrophosphate and dimethylallylpyrophosphate to yield pyrophosphate and geranylpyrophosphate. The enzyme then catalyzes the condensation of the latter compound with another molecule of isopentenyl pyrophosphate to yield pyrophosphate and farnesylpyrophosphate. EC 2.5.1.1.
A factor synthesized in a wide variety of tissues. It acts synergistically with TGF-alpha in inducing phenotypic transformation and can also act as a negative autocrine growth factor. TGF-beta has a potential role in embryonal development, cellular differentiation, hormone secretion, and immune function. TGF-beta is found mostly as homodimer forms of separate gene products TGF-beta1, TGF-beta2 or TGF-beta3. Heterodimers composed of TGF-beta1 and 2 (TGF-beta1.2) or of TGF-beta2 and 3 (TGF-beta2.3) have been isolated. The TGF-beta proteins are synthesized as precursor proteins.
An autosomal dominant degenerative muscle disease characterized by slowly progressive weakness of the muscles of the face, upper-arm, and shoulder girdle. The onset of symptoms usually occurs in the first or second decade of life. Affected individuals usually present with impairment of upper extremity elevation. This tends to be followed by facial weakness, primarily involving the orbicularis oris and orbicularis oculi muscles. (Neuromuscul Disord 1997;7(1):55-62; Adams et al., Principles of Neurology, 6th ed, p1420)
Diseases of the cornea.
A type II keratin that is found associated with the KERATIN-12 in the CORNEA and is regarded as a marker for corneal-type epithelial differentiation. Mutations in the gene for keratin-3 have been associated with MEESMANN CORNEAL EPITHELIAL DYSTROPHY.
A muscle protein localized in surface membranes which is the product of the Duchenne/Becker muscular dystrophy gene. Individuals with Duchenne muscular dystrophy usually lack dystrophin completely while those with Becker muscular dystrophy have dystrophin of an altered size. It shares features with other cytoskeletal proteins such as SPECTRIN and alpha-actinin but the precise function of dystrophin is not clear. One possible role might be to preserve the integrity and alignment of the plasma membrane to the myofibrils during muscle contraction and relaxation. MW 400 kDa.
A mutation in which a codon is mutated to one directing the incorporation of a different amino acid. This substitution may result in an inactive or unstable product. (From A Dictionary of Genetics, King & Stansfield, 5th ed)
The parts of a transcript of a split GENE remaining after the INTRONS are removed. They are spliced together to become a MESSENGER RNA or other functional RNA.
Enzymes which transfer sulfate groups to various acceptor molecules. They are involved in posttranslational sulfation of proteins and sulfate conjugation of exogenous chemicals and bile acids. EC 2.8.2.
An individual having different alleles at one or more loci regarding a specific character.
One of the two pairs of human chromosomes in the group B class (CHROMOSOMES, HUMAN, 4-5).
Stratified squamous epithelium that covers the outer surface of the CORNEA. It is smooth and contains many free nerve endings.
The outward appearance of the individual. It is the product of interactions between genes, and between the GENOTYPE and the environment.
A type of refractive surgery of the CORNEA to correct MYOPIA and ASTIGMATISM. An EXCIMER LASER is used directly on the surface of the EYE to remove some of the CORNEAL EPITHELIUM thus reshaping the anterior curvature of the cornea.
An excessive amount of fluid in the cornea due to damage of the epithelium or endothelium causing decreased visual acuity.
Fibroblasts which occur in the CORNEAL STROMA.
Gas lasers with excited dimers (i.e., excimers) as the active medium. The most commonly used are rare gas monohalides (e.g., argon fluoride, xenon chloride). Their principal emission wavelengths are in the ultraviolet range and depend on the monohalide used (e.g., 193 nm for ArF, 308 nm for Xe Cl). These lasers are operated in pulsed and Q-switched modes and used in photoablative decomposition involving actual removal of tissue. (UMDNS, 2005)
A heterogenous group of inherited muscular dystrophy without the involvement of nervous system. The disease is characterized by MUSCULAR ATROPHY; MUSCLE WEAKNESS; CONTRACTURE of the elbows; ACHILLES TENDON; and posterior cervical muscles; with or without cardiac features. There are several INHERITANCE PATTERNS including X-linked (X CHROMOSOME), autosomal dominant, and autosomal recessive gene mutations.
Genes that influence the PHENOTYPE both in the homozygous and the heterozygous state.
A strain of mice arising from a spontaneous MUTATION (mdx) in inbred C57BL mice. This mutation is X chromosome-linked and produces viable homozygous animals that lack the muscle protein DYSTROPHIN, have high serum levels of muscle ENZYMES, and possess histological lesions similar to human MUSCULAR DYSTROPHY. The histological features, linkage, and map position of mdx make these mice a worthy animal model of DUCHENNE MUSCULAR DYSTROPHY.
The co-inheritance of two or more non-allelic GENES due to their being located more or less closely on the same CHROMOSOME.
'Eye proteins' are structural or functional proteins, such as crystallins, opsins, and collagens, located in various parts of the eye, including the cornea, lens, retina, and aqueous humor, that contribute to maintaining transparency, refractive power, phototransduction, and overall integrity of the visual system.
An individual in which both alleles at a given locus are identical.
A nonspecific term referring both to the pathologic finding of swelling of distal portions of axons in the brain and to disorders which feature this finding. Neuroaxonal dystrophy is seen in various genetic diseases, vitamin deficiencies, and aging. Infantile neuroaxonal dystrophy is an autosomal recessive disease characterized by arrested psychomotor development at 6 months to 2 years of age, ataxia, brain stem dysfunction, and quadriparesis. Juvenile and adult forms also occur. Pathologic findings include brain atrophy and widespread accumulation of axonal spheroids throughout the neuroaxis, peripheral nerves, and dental pulp. (From Davis & Robertson, Textbook of Neuropathology, 2nd ed, p927)
The sequence of PURINES and PYRIMIDINES in nucleic acids and polynucleotides. It is also called nucleotide sequence.
A specific pair of GROUP F CHROMOSOMES of the human chromosome classification.
A group of sporadic, familial and/or inherited, degenerative, and infectious disease processes, linked by the common theme of abnormal protein folding and deposition of AMYLOID. As the amyloid deposits enlarge they displace normal tissue structures, causing disruption of function. Various signs and symptoms depend on the location and size of the deposits.
A family of transmembrane dystrophin-associated proteins that play a role in the membrane association of the DYSTROPHIN-ASSOCIATED PROTEIN COMPLEX.
In vitro method for producing large amounts of specific DNA or RNA fragments of defined length and sequence from small amounts of short oligonucleotide flanking sequences (primers). The essential steps include thermal denaturation of the double-stranded target molecules, annealing of the primers to their complementary sequences, and extension of the annealed primers by enzymatic synthesis with DNA polymerase. The reaction is efficient, specific, and extremely sensitive. Uses for the reaction include disease diagnosis, detection of difficult-to-isolate pathogens, mutation analysis, genetic testing, DNA sequencing, and analyzing evolutionary relationships.
The measurement of curvature and shape of the anterior surface of the cornea using techniques such as keratometry, keratoscopy, photokeratoscopy, profile photography, computer-assisted image processing and videokeratography. This measurement is often applied in the fitting of contact lenses and in diagnosing corneal diseases or corneal changes including keratoconus, which occur after keratotomy and keratoplasty.
Descriptions of specific amino acid, carbohydrate, or nucleotide sequences which have appeared in the published literature and/or are deposited in and maintained by databanks such as GENBANK, European Molecular Biology Laboratory (EMBL), National Biomedical Research Foundation (NBRF), or other sequence repositories.
Individuals whose ancestral origins are in the southeastern and eastern areas of the Asian continent.
Clarity or sharpness of OCULAR VISION or the ability of the eye to see fine details. Visual acuity depends on the functions of RETINA, neuronal transmission, and the interpretative ability of the brain. Normal visual acuity is expressed as 20/20 indicating that one can see at 20 feet what should normally be seen at that distance. Visual acuity can also be influenced by brightness, color, and contrast.
A light microscopic technique in which only a small spot is illuminated and observed at a time. An image is constructed through point-by-point scanning of the field in this manner. Light sources may be conventional or laser, and fluorescence or transmitted observations are possible.
Membrane proteins whose primary function is to facilitate the transport of negatively charged molecules (anions) across a biological membrane.
The naturally occurring or experimentally induced replacement of one or more AMINO ACIDS in a protein with another. If a functionally equivalent amino acid is substituted, the protein may retain wild-type activity. Substitution may also diminish, enhance, or eliminate protein function. Experimentally induced substitution is often used to study enzyme activities and binding site properties.
A mutation caused by the substitution of one nucleotide for another. This results in the DNA molecule having a change in a single base pair.
A subtype of transforming growth factor beta that is synthesized by a wide variety of cells. It is synthesized as a precursor molecule that is cleaved to form mature TGF-beta 1 and TGF-beta1 latency-associated peptide. The association of the cleavage products results in the formation a latent protein which must be activated to bind its receptor. Defects in the gene that encodes TGF-beta1 are the cause of CAMURATI-ENGELMANN SYNDROME.
An autosomal dominant hereditary disease that presents in late in life and is characterized by DYSPHAGIA and progressive ptosis of the eyelids. Mutations in the gene for POLY(A)-BINDING PROTEIN II have been associated with oculopharyngeal muscular dystrophy.
The magnitude of INBREEDING in humans.
Dystrophin-associated proteins that play role in the formation of a transmembrane link between laminin-2 and DYSTROPHIN. Both the alpha and the beta subtypes of dystroglycan originate via POST-TRANSLATIONAL PROTEIN PROCESSING of a single precursor protein.
Created 1 January 1993 as a result of the division of Czechoslovakia into the Czech Republic and Slovakia.
A syndrome characterized by severe burning pain in an extremity accompanied by sudomotor, vasomotor, and trophic changes in bone without an associated specific nerve injury. This condition is most often precipitated by trauma to soft tissue or nerve complexes. The skin over the affected region is usually erythematous and demonstrates hypersensitivity to tactile stimuli and erythema. (Adams et al., Principles of Neurology, 6th ed, p1360; Pain 1995 Oct;63(1):127-33)
The presence of apparently similar characters for which the genetic evidence indicates that different genes or different genetic mechanisms are involved in different pedigrees. In clinical settings genetic heterogeneity refers to the presence of a variety of genetic defects which cause the same disease, often due to mutations at different loci on the same gene, a finding common to many human diseases including ALZHEIMER DISEASE; CYSTIC FIBROSIS; LIPOPROTEIN LIPASE DEFICIENCY, FAMILIAL; and POLYCYSTIC KIDNEY DISEASES. (Rieger, et al., Glossary of Genetics: Classical and Molecular, 5th ed; Segen, Dictionary of Modern Medicine, 1992)
A type of mutation in which a number of NUCLEOTIDES deleted from or inserted into a protein coding sequence is not divisible by three, thereby causing an alteration in the READING FRAMES of the entire coding sequence downstream of the mutation. These mutations may be induced by certain types of MUTAGENS or may occur spontaneously.
Variation in a population's DNA sequence that is detected by determining alterations in the conformation of denatured DNA fragments. Denatured DNA fragments are allowed to renature under conditions that prevent the formation of double-stranded DNA and allow secondary structure to form in single stranded fragments. These fragments are then run through polyacrylamide gels to detect variations in the secondary structure that is manifested as an alteration in migration through the gels.
The analysis of a sequence such as a region of a chromosome, a haplotype, a gene, or an allele for its involvement in controlling the phenotype of a specific trait, metabolic pathway, or disease.
An autosomally-encoded 376-kDa cytoskeletal protein that is similar in structure and function to DYSTROPHIN. It is a ubiquitously-expressed protein that plays a role in anchoring the CYTOSKELETON to the PLASMA MEMBRANE.
Autosomal dominant hereditary maculopathy with childhood-onset accumulation of LIPOFUSION in RETINAL PIGMENT EPITHELIUM. Affected individuals develop progressive central acuity loss, and distorted vision (METAMORPHOPSIA). It is associated with mutations in bestrophin, a chloride channel.
A corneal disease in which there is a deposition of phospholipid and cholesterol in the corneal stroma and anterior sclera.
A fibrous protein complex that consists of proteins folded into a specific cross beta-pleated sheet structure. This fibrillar structure has been found as an alternative folding pattern for a variety of functional proteins. Deposits of amyloid in the form of AMYLOID PLAQUES are associated with a variety of degenerative diseases. The amyloid structure has also been found in a number of functional proteins that are unrelated to disease.
The genetic constitution of individuals with respect to one member of a pair of allelic genes, or sets of genes that are closely linked and tend to be inherited together such as those of the MAJOR HISTOCOMPATIBILITY COMPLEX.
A subtype of striated muscle, attached by TENDONS to the SKELETON. Skeletal muscles are innervated and their movement can be consciously controlled. They are also called voluntary muscles.
A family of transcription factors that contain regions rich in basic residues, LEUCINE ZIPPER domains, and HELIX-LOOP-HELIX MOTIFS.
A non-fibrillar collagen found in the structure of BASEMENT MEMBRANE. Collagen type IV molecules assemble to form a sheet-like network which is involved in maintaining the structural integrity of basement membranes. The predominant form of the protein is comprised of two alpha1(IV) subunits and one alpha2(IV) subunit, however, at least six different alpha subunits can be incorporated into the heterotrimer.
Membrane transporters that co-transport two or more dissimilar molecules in the opposite direction across a membrane. Usually the transport of one ion or molecule is against its electrochemical gradient and is "powered" by the movement of another ion or molecule with its electrochemical gradient.
The genetic constitution of the individual, comprising the ALLELES present at each GENETIC LOCUS.
A social group consisting of parents or parent substitutes and children.
A small leucine-rich proteoglycan that interacts with FIBRILLAR COLLAGENS and modifies the EXTRACELLULAR MATRIX structure of CONNECTIVE TISSUE. Decorin has also been shown to play additional roles in the regulation of cellular responses to GROWTH FACTORS. The protein contains a single glycosaminoglycan chain and is similar in structure to BIGLYCAN.

The 2588G-->C mutation in the ABCR gene is a mild frequent founder mutation in the Western European population and allows the classification of ABCR mutations in patients with Stargardt disease. (1/312)

In 40 western European patients with Stargardt disease (STGD), we found 19 novel mutations in the retina-specific ATP-binding cassette transporter (ABCR) gene, illustrating STGD's high allelic heterogeneity. One mutation, 2588G-->C, identified in 15 (37.5%) patients, shows linkage disequilibrium with a rare polymorphism (2828G-->A) in exon 19, suggesting a founder effect. The guanine at position 2588 is part of the 3' splice site of exon 17. Analysis of the lymphoblastoid cell mRNA of two STGD patients with the 2588G-->C mutation shows that the resulting mutant ABCR proteins either lack Gly863 or contain the missense mutation Gly863Ala. We hypothesize that the 2588G-->C alteration is a mild mutation that causes STGD only in combination with a severe ABCR mutation. This is supported in that the accompanying ABCR mutations in at least five of eight STGD patients are null (severe) and that a combination of two mild mutations has not been observed among 68 STGD patients. The 2588G-->C mutation is present in 1 of every 35 western Europeans, a rate higher than that of the most frequent severe autosomal recessive mutation, the cystic fibrosis conductance regulator gene mutation DeltaPhe508. Given an STGD incidence of 1/10,000, homozygosity for the 2588G-->C mutation or compound heterozygosity for this and other mild ABCR mutations probably does not result in an STGD phenotype.  (+info)

Homozygosity mapping and linkage analysis demonstrate that autosomal recessive congenital hereditary endothelial dystrophy (CHED) and autosomal dominant CHED are genetically distinct. (2/312)

BACKGROUND: Congenital hereditary endothelial dystrophy (CHED) is a corneal dystrophy characterised by diffuse bilateral corneal clouding resulting in impaired vision. It is inherited in either an autosomal dominant (AD) or autosomal recessive (AR) manner. The AD form of CHED has been mapped to the pericentromeric region of chromosome 20. Another endothelial dystrophy, posterior polymorphous dystrophy (PPM), has been linked to a larger but overlapping region on chromosome 20. A large, Irish, consanguineous family with AR CHED was investigated to determine if there was linkage to this region. METHODS: The technique of linkage analysis with polymorphic microsatellite markers amplified by polymerase chain reaction (PCR) was used. In addition, a DNA pooling approach to homozygosity mapping was employed to demonstrate the efficiency of this method. RESULTS: Conventional genetic analysis in addition to a pooled DNA strategy excludes linkage of AR CHED to the AD CHED and larger PPMD loci. CONCLUSION: This demonstrates that AR CHED is genetically distinct from AD CHED and PPMD.  (+info)

On the role of kerato-epithelin in the pathogenesis of 5q31-linked corneal dystrophies. (3/312)

PURPOSE: Recently, the authors identified a gene, BIGH3, in which different mutations cause a group of hereditary corneal dystrophies: lattice type I and IIIA (CDLI and CDLIIIA), granular Groenouw type I (CDGGI), Avellino (CDA), and Reis-Bucklers' (CDRB). All these disorders are characterized by the progressive accumulation of corneal deposits with different structural organization. Experiments were conducted to determine the role of kerato-epithelin (KE), the product of BIGH3, in the pathogenesis of the diseases. METHODS: KE-15 and KE-2, two rabbit antisera raised against peptides from the 69-364 and 426 - 682 amino acid regions of KE respectively, were used for immunohistology of the corneas obtained after keratoplasty in six CDLI patients, three CDGGI patients, and one CDA patient. RESULTS: The nonamyloid deposits observed in CDGGI stained intensively with KE-15 and KE-2, whereas the amyloid deposits in all analyzed CDLI corneas reacted to KE-2 but not to KE-15. In the CDA cornea, where amyloid and nonamyloid inclusions were present, positive staining with both antisera was observed. CONCLUSIONS: Pathologic amyloid and nonamyloid deposits observed in CDLI, CDGGI-, and CDA-affected corneas are caused by KE accumulation. Different staining patterns of amyloid and nonamyloid deposits observed with antibodies against the amino and carboxyl termini of KE suggest that two mechanisms of KE misfolding are implicated in the pathogenesis of 5q31-linked corneal dystrophies.  (+info)

Apolipoproteins J and E co-localise with amyloid in gelatinous drop-like and lattice type I corneal dystrophies. (4/312)

AIMS: Apolipoprotein J (apoJ) and apolipoprotein E (apoE) are thought to contribute to amyloid formation in patients with Alzheimer's disease. The aim of this investigation was to discover whether or not these apolipoproteins associate with corneal amyloid in gelatinous drop-like corneal dystrophy (GDCD) and lattice corneal dystrophy type I (LCD-I). METHODS: Corneas from three eyes of three patients with GDCD and one eye of one patient with LCD-I were examined immunohistochemically using antibodies against apoJ and apoE. Two normal corneas were similarly examined. Tissue sections of brain from a patient with Alzheimer's disease were used as positive controls for the antibodies. For all negative controls, mouse IgG was used instead of the primary antibody. RESULTS: Intense apoJ and apoE immunoreactivities were found in congophilic amyloid deposits in GDCD and LCD-I. These deposits were located subepithelially in GDCD, and subepithelially and intrastromally in LCD-I. In GDCD, immunostaining of subepithelial amyloid with anti-apoJ was noticeably stronger than with anti-apoE. CONCLUSIONS: As in senile plaques in brain from a patient with Alzheimer's disease, apoJ and apoE co-localise with amyloid in corneas with GDCD and LCD-I.  (+info)

Corneal guttata associated with the corneal dystrophy resulting from a betaig-h3 R124H mutation. (5/312)

AIMS: To investigate the frequency of corneal guttata in patients with a corneal dystrophy resulting from an Arg124His (R124H) mutation of betaig-h3 gene. METHODS: Slit lamp examination was performed on 30 eyes with corneal dystrophy from a genetically confirmed betaig-h3 R124H mutation and on 50 age matched control eyes. The stage of the corneal dystrophy was classified as stage 0, I, or II and the degree of guttata was classified as none, mild, or severe. Specular microscopic examinations were performed to evaluate the morphology of the corneal endothelium. RESULTS: Slit lamp examination disclosed the presence of corneal guttata in 21 eyes (70%) of the 30 eyes with the corneal dystrophy, but in only one (2%) of the 50 eyes in the age matched control group (p<0.001, chi(2) with Yates's correction). Of the 12 eyes with stage I betaig-h3 R124H corneal dystrophy, seven had no corneal guttata and five had a mild degree of guttata. Of the 18 eyes with stage II, the degree of guttata was none in two, mild in nine, and severe in seven. The degree of corneal guttata was significantly related to the stage of the corneal dystrophy (p<0.0001, Kruskul-Wallis test ANOVA on ranks). There was no significant differences between eyes with betaig-h3 R124H corneal dystrophy and normal eyes in cell density, coefficient of variation, and cell hexagonality of corneal endothelium. CONCLUSION: Corneal guttata are one of the characteristics of the corneal dystrophy resulting from betaig-h3 R124H mutation.  (+info)

Acute hydrops in the corneal ectasias: associated factors and outcomes. (6/312)

PURPOSE: To identify factors associated with the development of hydrops and affecting its clinical outcome. METHODS: Chart review of all patients with acute hydrops seen by a referral cornea service during a 2.5-year period between June 1996 and December 1998. RESULTS: Twenty-one patients (22 eyes) with acute hydrops were seen. Nineteen patients had keratoconus, 2 had pellucid marginal degeneration, and 1 had keratoglobus. Twenty-one of 22 (95%) eyes had seasonal allergies and 20 of 22 (91%) eyes had allergy-associated eye-rubbing behavior. Six of 22 (27%) had a diagnosis of Down's syndrome. Six patients were able to identify a traumatic inciting event: vigorous eye rubbing in 4 and traumatic contact lens insertion in 2. The affected area ranged from 7% to 100% of the corneal surface area and was related to disease duration and final visual acuity. Proximity of the area of edema to the corneal limbus ranged from 0 to 2.3 mm and was also related to prognosis. Three serious complications were observed: a leak, an infectious keratitis, and an infectious keratitis and coincidental neovascular glaucoma. Various medical therapies did not differ significantly in their effect on outcome, and ultimately 4 (18%) of 22 patients underwent penetrating keratoplasty. Best-corrected visual acuity was equal to or better than prehydrops visual acuity in 5 of the 6 patients in whom prehydrops visual acuity was known, without corneal transplantation. CONCLUSIONS: Allergy and eye-rubbing appear to be important risk factors in the development of hydrops. Visual results are acceptable in some patients without surgery. Close observation allows for the early detection and treatment of complications such as perforation and infection.  (+info)

Ultrastructural localization of sulfated and unsulfated keratan sulfate in normal and macular corneal dystrophy type I. (7/312)

Keratan sulfate (KS) proteoglycans are of importance for the maintenance of corneal transparency as evidenced in the condition macular corneal dystrophy type I (MCD I), a disorder involving the absence of KS sulfation, in which the cornea becomes opaque. In this transmission electron microscope study quantitative immuno- and histochemical methods have been used to examine a normal and MCD I cornea. The monoclonal antibody, 5-D-4, has been used to localize sulfated KS and the lectin Erythrina cristagalli agglutinin (ECA) to localize poly N -acetyllactosamine (unsulfated KS). In normal cornea high levels of sulfated KS were detected in the stroma, Bowman's layer, and Descemet's membrane and low levels in the keratocytes, epithelium and endothelium. Furthermore, in normal cornea, negligible levels of labeling were found for N -acetyllactosamine (unsulfated KS). In the MCD I cornea sulfated KS was not detected anywhere, but a specific distribution of N -acetyllactosamine (unsulfated KS) was evident: deposits found in the stroma, keratocytes, and endothelium labeled heavily as did the disrupted posterior region of Descemet's membrane. However, the actual cytoplasm of cells and the undisrupted regions of stroma revealed low levels of labeling. In conclusion, little or no unsulfated KS is present in normal cornea, but in MCD I cornea the abnormal unsulfated KS was localized in deposits and did not associate with the collagen fibrils of the corneal stroma. This study has also shown that ECA is an effective probe for unsulfated KS.  (+info)

Late onset lattice corneal dystrophy with systemic familial amyloidosis, amyloidosis V, in an English family. (8/312)

AIMS: To establish a clinical and molecular diagnosis in a family with late onset lattice corneal dystrophy. METHODS: Linkage analysis, single strand conformation polymorphism (SSCP) analysis, and direct sequencing of genomic DNA were performed. A review of the patients' clinical symptoms and signs was undertaken. RESULTS: Linkage to chromosome 9q34 was established and a mutation in the gelsolin gene was found in affected individuals. Numerous symptoms experienced by the patients were attributable to this mutation. CONCLUSION: A diagnosis of amyloidosis type V (familial amyloidosis, Finnish type, FAF/Meretoja syndrome/gelsolin related amyloidosis) was made. This is the first case of amyloidosis type V described in the UK. This emphasises the importance of recognition of the extraocular manifestations of eye disease both in the diagnosis and management of the patient. In addition, these findings can help molecular geneticists in their search for disease-causing mutations.  (+info)

Corneal dystrophies, hereditary are a group of genetic disorders that affect the cornea, which is the clear, outermost layer at the front of the eye. These conditions are characterized by the buildup of abnormal material in the cornea, leading to decreased vision, pain, or cloudiness in the eye.

There are many different types of corneal dystrophies, each affecting a specific layer of the cornea and having its own pattern of inheritance. Some common types include:

1. Fuchs' endothelial dystrophy: This affects the inner lining of the cornea (endothelium) and causes swelling and cloudiness in the cornea. It is typically inherited in an autosomal dominant manner, meaning that a child has a 50% chance of inheriting the condition if one parent has it.
2. Granular dystrophy: This affects the stroma, which is the middle layer of the cornea. It causes the formation of opaque, grayish-white deposits in the cornea that can affect vision. It is typically inherited in an autosomal dominant or recessive manner.
3. Lattice dystrophy: This also affects the stroma and is characterized by the formation of a lattice-like pattern of fine, whitish lines in the cornea. It is typically inherited in an autosomal dominant manner.
4. Macular dystrophy: This affects the central part of the cornea (macula) and can cause cloudiness, leading to decreased vision. It is typically inherited in an autosomal recessive manner.

Treatment for corneal dystrophies may include eyedrops, medications, or surgery, depending on the severity of the condition and its impact on vision. In some cases, a corneal transplant may be necessary to restore vision.

Fuchs' Endothelial Dystrophy is a medical condition that affects the eye's cornea. It is a slowly progressing disorder that causes the endothelium, a thin layer of cells lining the inner surface of the cornea, to deteriorate and eventually fail to function properly. This results in swelling of the cornea, leading to cloudy vision, distorted vision, and sensitivity to light.

The condition is typically inherited and tends to affect both eyes. It is more common in women than in men and usually becomes apparent after the age of 50. There is no cure for Fuchs' Endothelial Dystrophy, but treatments such as corneal transplantation can help improve vision and alleviate symptoms.

Juvenile epithelial corneal dystrophy of Meesmann is a rare hereditary eye condition that affects the cornea, which is the clear front part of the eye. This condition is typically present at birth or appears during infancy and can affect both eyes. It is caused by mutations in the K3 and K12 genes, which provide instructions for making proteins called keratins that are found in the corneal epithelial cells.

In this condition, there is a abnormal accumulation of these misfolded keratin proteins in the corneal epithelium, leading to the formation of tiny opaque bumps or microcysts on the surface of the cornea. These microcysts can cause visual symptoms such as photophobia (light sensitivity), tearing, and decreased vision. The severity of the condition can vary widely among affected individuals, ranging from mild to severe.

The progression of juvenile epithelial corneal dystrophy of Meesmann is generally slow, but in some cases, it may lead to more serious complications such as corneal erosions, scarring, and loss of vision. Currently, there is no cure for this condition, and treatment is mainly focused on managing the symptoms and preventing complications. This may include the use of artificial tears, ointments, or bandage contact lenses to protect the cornea and alleviate symptoms. In severe cases, a corneal transplant may be necessary.

Muscular dystrophies are a group of genetic disorders that primarily affect skeletal muscles, causing progressive weakness and degeneration. They are characterized by the lack or deficiency of a protein called dystrophin, which is essential for maintaining the integrity of muscle fibers. The most common form is Duchenne muscular dystrophy (DMD), but there are many other types with varying symptoms and severity. Over time, muscle wasting and weakness can lead to disability and shortened lifespan, depending on the type and progression of the disease. Treatment typically focuses on managing symptoms, maintaining mobility, and supporting quality of life.

Collagen type VIII is a less common type of collagen that is found in the eyes, specifically in the basement membrane of the cornea and the blood vessels of the eye. It is a network-forming collagen and is believed to play a role in maintaining the structural integrity and stability of these tissues. Mutations in the genes encoding for collagen type VIII have been associated with certain eye disorders, such as Fuchs' endothelial corneal dystrophy.

Here is a medical definition from the US National Library of Medicine:

"Collagen, type VIII, alpha-1 (COL8A1) is a gene that provides instructions for making one component of a type VIII collagen protein called collagen VIII alpha-1 chain. Collagen proteins are important building blocks for many tissues in the body, including tendons, ligaments, and the cornea, which is the clear outer covering of the eye.

Collagen VIII is found in the basement membrane, a thin layer of protein that surrounds many types of cells and helps to anchor them to surrounding tissue. In the eye, collagen VIII is produced by cells called endothelial cells, which line the inside surface of the cornea. Collagen VIII forms networks with other proteins that help maintain the structural integrity and stability of the cornea.

Mutations in the COL8A1 gene can cause Fuchs' endothelial corneal dystrophy, a progressive eye disorder characterized by the gradual clouding of the cornea." ()

Myotonic dystrophy is a genetic disorder characterized by progressive muscle weakness, myotonia (delayed relaxation of muscles after contraction), and other symptoms. It is caused by an expansion of repetitive DNA sequences in the DMPK gene on chromosome 19 (type 1) or the ZNF9 gene on chromosome 3 (type 2). These expansions result in abnormal protein production and accumulation, which disrupt muscle function and can also affect other organs such as the heart, eyes, and endocrine system. Myotonic dystrophy is a progressive disease, meaning that symptoms tend to worsen over time. It is typically divided into two types: myotonic dystrophy type 1 (DM1), which is more common and severe, and myotonic dystrophy type 2 (DM2), which tends to be milder with a later onset of symptoms.

The cornea is the clear, dome-shaped surface at the front of the eye. It plays a crucial role in focusing vision. The cornea protects the eye from harmful particles and microorganisms, and it also serves as a barrier against UV light. Its transparency allows light to pass through and get focused onto the retina. The cornea does not contain blood vessels, so it relies on tears and the fluid inside the eye (aqueous humor) for nutrition and oxygen. Any damage or disease that affects its clarity and shape can significantly impact vision and potentially lead to blindness if left untreated.

Duchenne Muscular Dystrophy (DMD) is a genetic disorder characterized by progressive muscle weakness and degeneration. It is caused by the absence of dystrophin, a protein that helps keep muscle cells intact. Without dystrophin, the muscle cells break down and are replaced with scar tissue, leading to loss of muscle function over time.

DMD primarily affects boys, as it is inherited in an X-linked recessive pattern, meaning that females who carry one affected X chromosome typically do not show symptoms but can pass the gene on to their offspring. Symptoms usually begin in early childhood and include difficulty with motor skills such as walking, running, and climbing stairs. Over time, the muscle weakness progresses and can lead to loss of ambulation, respiratory and cardiac complications, and ultimately, premature death.

Currently, there is no cure for DMD, but various treatments such as corticosteroids, physical therapy, and assisted ventilation can help manage symptoms and improve quality of life. Gene therapy approaches are also being investigated as potential treatments for this disorder.

Corneal opacity refers to a condition in which the cornea, the clear front part of the eye, becomes cloudy or opaque. This can occur due to various reasons such as injury, infection, degenerative changes, or inherited disorders. As a result, light is not properly refracted and vision becomes blurred or distorted. In some cases, corneal opacity can lead to complete loss of vision in the affected eye. Treatment options depend on the underlying cause and may include medication, corneal transplantation, or other surgical procedures.

I must clarify that the term "pedigree" is not typically used in medical definitions. Instead, it is often employed in genetics and breeding, where it refers to the recorded ancestry of an individual or a family, tracing the inheritance of specific traits or diseases. In human genetics, a pedigree can help illustrate the pattern of genetic inheritance in families over multiple generations. However, it is not a medical term with a specific clinical definition.

The Descemet membrane is the thin, transparent basement membrane that is produced by the corneal endothelial cells. It is located between the corneal stroma and the corneal endothelium, which is the innermost layer of the cornea. The Descemet membrane provides structural support for the corneal endothelium and helps to maintain the proper hydration and clarity of the cornea. It is named after the French physician Jean Descemet, who first described it in 1752.

Keratin-1

Extracellular matrix (ECM) proteins are a group of structural and functional molecules that provide support, organization, and regulation to the cells in tissues and organs. The ECM is composed of a complex network of proteins, glycoproteins, and carbohydrates that are secreted by the cells and deposited outside of them.

ECM proteins can be classified into several categories based on their structure and function, including:

1. Collagens: These are the most abundant ECM proteins and provide strength and stability to tissues. They form fibrils that can withstand high tensile forces.
2. Proteoglycans: These are complex molecules made up of a core protein and one or more glycosaminoglycan (GAG) chains. The GAG chains attract water, making proteoglycans important for maintaining tissue hydration and resilience.
3. Elastin: This is an elastic protein that allows tissues to stretch and recoil, such as in the lungs and blood vessels.
4. Fibronectins: These are large glycoproteins that bind to cells and ECM components, providing adhesion, migration, and signaling functions.
5. Laminins: These are large proteins found in basement membranes, which provide structural support for epithelial and endothelial cells.
6. Tenascins: These are large glycoproteins that modulate cell adhesion and migration, and regulate ECM assembly and remodeling.

Together, these ECM proteins create a microenvironment that influences cell behavior, differentiation, and function. Dysregulation of ECM proteins has been implicated in various diseases, including fibrosis, cancer, and degenerative disorders.

The Bowman membrane, also known as the Bowman's capsule, is a part of the nephron in the kidney. It is the outermost layer of the renal corpuscle and surrounds the glomerulus. The primary function of the Bowman membrane is to filter blood and produce urine.

The Bowman membrane is composed of two layers: an inner visceral layer, which is closely applied to the glomerular capillaries, and an outer parietal layer, which forms the inner lining of the Bowman's capsule. The space between these two layers is called the urinary space or Bowman's space.

The filtration process in the Bowman membrane allows for the passage of small molecules such as water, glucose, and amino acids from the blood into the urinary space, while larger molecules like proteins and blood cells are retained in the bloodstream. The fluid that passes through the Bowman membrane then flows into the tubular part of the nephron, where it is further modified before being excreted as urine.

I'm sorry for any confusion, but "Muscular Dystrophy, Animal" is not a standard medical term. Muscular Dystrophy is a group of genetic disorders that cause progressive weakness and loss of muscle mass. They are primarily human diseases and there are no known animal models of muscular dystrophy that directly correspond to any type of muscular dystrophy in humans.

However, scientists often use animals (like mice, dogs, and cats) as models for human diseases, including various types of muscular dystrophies. These animal models are used to study the disease process and to test potential treatments. For example, the mdx mouse is a well-known model of Duchenne Muscular Dystrophy (DMD), which is caused by a mutation in the dystrophin gene. This mouse lacks the muscle protein dystrophin, similar to humans with DMD, and shows many of the same symptoms, making it a valuable tool for research.

The endothelium of the cornea is the thin, innermost layer of cells that lines the inner surface of the cornea, which is the clear, dome-shaped structure at the front of the eye. This single layer of specialized cells is essential for maintaining the transparency and proper hydration of the cornea, allowing light to pass through it and focus on the retina.

The endothelial cells are hexagonal in shape and have tight junctions between them, creating a semi-permeable barrier that controls the movement of water and solutes between the corneal stroma (the middle layer of the cornea) and the anterior chamber (the space between the cornea and the iris). The endothelial cells actively pump excess fluid out of the cornea, maintaining a delicate balance of hydration that is critical for corneal clarity.

Damage to or dysfunction of the corneal endothelium can result in corneal edema (swelling), cloudiness, and loss of vision. Factors contributing to endothelial damage include aging, eye trauma, intraocular surgery, and certain diseases such as Fuchs' dystrophy and glaucoma.

Penetrating keratoplasty (PK) is a type of corneal transplant surgery where the entire thickness of the host's damaged or diseased cornea is removed and replaced with a similar full-thickness portion of a healthy donor's cornea. The procedure aims to restore visual function, alleviate pain, and improve the structural integrity of the eye. It is typically performed for conditions such as severe keratoconus, corneal scarring, or corneal ulcers that cannot be treated with other, less invasive methods. Following the surgery, patients may require extended recovery time and rigorous postoperative care to minimize the risk of complications and ensure optimal visual outcomes.

Keratoconus is a degenerative non-inflammatory disorder of the eye, primarily affecting the cornea. It is characterized by a progressive thinning and steepening of the central or paracentral cornea, causing it to assume a conical shape. This results in irregular astigmatism, myopia, and scattering of light leading to blurred vision, visual distortions, and sensitivity to glare. The exact cause of keratoconus is unknown, but it may be associated with genetics, eye rubbing, and certain medical conditions. It typically starts in the teenage years and progresses into the third or fourth decade of life. Treatment options include glasses, contact lenses, cross-linking, and corneal transplantation in advanced cases.

Keratan sulfate is a type of glycosaminoglycan (GAG), which is a complex carbohydrate found in connective tissues, including the cornea and cartilage. It is composed of repeating disaccharide units of galactose and N-acetylglucosamine, with sulfate groups attached to some of the sugar molecules.

Keratan sulfate is unique among GAGs because it contains a high proportion of non-sulfated sugars and is often found covalently linked to proteins in structures called proteoglycans. In the cornea, keratan sulfate plays important roles in maintaining transparency and regulating hydration. In cartilage, it contributes to the elasticity and resilience of the tissue.

Abnormalities in keratan sulfate metabolism have been associated with several genetic disorders, including corneal dystrophies and skeletal dysplasias.

Familial amyloidosis is a genetic disorder characterized by the buildup of abnormal protein deposits called amyloid fibrils in various tissues and organs throughout the body. These abnormal protein deposits can cause damage to the affected organs, leading to a variety of symptoms.

There are several types of familial amyloidosis, but the most common type is transthyretin-related hereditary amyloidosis (TTR-HA). This form of the disorder is caused by mutations in the TTR gene, which provides instructions for making a protein called transthyretin. Transthyretin is a transport protein that helps move thyroid hormones and vitamin A around the body. In TTR-HA, mutations in the TTR gene cause the transthyretin protein to misfold and form amyloid fibrils.

Symptoms of familial amyloidosis can vary widely depending on which organs are affected. Commonly affected organs include the heart, kidneys, nerves, and gastrointestinal tract. Symptoms may include:

* Heart problems such as arrhythmias (irregular heartbeat), heart failure, or cardiac conduction abnormalities
* Kidney problems such as proteinuria (protein in the urine) or kidney failure
* Nerve damage leading to numbness, tingling, or pain in the hands and feet, or autonomic nervous system dysfunction affecting digestion, bladder function, or blood pressure regulation
* Gastrointestinal problems such as diarrhea, constipation, nausea, vomiting, or abdominal pain

Familial amyloidosis is typically inherited in an autosomal dominant manner, meaning that a child has a 50% chance of inheriting the mutated gene from a parent with the disorder. However, some cases may be due to new (de novo) mutations and occur in people without a family history of the disorder.

Diagnosis of familial amyloidosis typically involves a combination of clinical evaluation, genetic testing, and tissue biopsy to confirm the presence of amyloid fibrils. Treatment may involve medications to manage symptoms, as well as liver transplantation or other experimental therapies aimed at reducing the production of abnormal proteins that form amyloid fibrils.

The corneal stroma, also known as the substantia propria, is the thickest layer of the cornea, which is the clear, dome-shaped surface at the front of the eye. The cornea plays a crucial role in focusing vision.

The corneal stroma makes up about 90% of the cornea's thickness and is composed of parallel bundles of collagen fibers that are arranged in regular, repeating patterns. These fibers give the cornea its strength and transparency. The corneal stroma also contains a small number of cells called keratocytes, which produce and maintain the collagen fibers.

Disorders that affect the corneal stroma can cause vision loss or other eye problems. For example, conditions such as keratoconus, in which the cornea becomes thin and bulges outward, can distort vision and make it difficult to see clearly. Other conditions, such as corneal scarring or infection, can also affect the corneal stroma and lead to vision loss or other eye problems.

DNA Mutational Analysis is a laboratory test used to identify genetic variations or changes (mutations) in the DNA sequence of a gene. This type of analysis can be used to diagnose genetic disorders, predict the risk of developing certain diseases, determine the most effective treatment for cancer, or assess the likelihood of passing on an inherited condition to offspring.

The test involves extracting DNA from a patient's sample (such as blood, saliva, or tissue), amplifying specific regions of interest using polymerase chain reaction (PCR), and then sequencing those regions to determine the precise order of nucleotide bases in the DNA molecule. The resulting sequence is then compared to reference sequences to identify any variations or mutations that may be present.

DNA Mutational Analysis can detect a wide range of genetic changes, including single-nucleotide polymorphisms (SNPs), insertions, deletions, duplications, and rearrangements. The test is often used in conjunction with other diagnostic tests and clinical evaluations to provide a comprehensive assessment of a patient's genetic profile.

It is important to note that not all mutations are pathogenic or associated with disease, and the interpretation of DNA Mutational Analysis results requires careful consideration of the patient's medical history, family history, and other relevant factors.

Corneal transplantation, also known as keratoplasty, is a surgical procedure in which all or part of a damaged or diseased cornea is replaced with healthy corneal tissue from a deceased donor. The cornea is the clear, dome-shaped surface at the front of the eye that plays an important role in focusing vision. When it becomes cloudy or misshapen due to injury, infection, or inherited conditions, vision can become significantly impaired.

During the procedure, the surgeon carefully removes a circular section of the damaged cornea and replaces it with a similarly sized piece of donor tissue. The new cornea is then stitched into place using very fine sutures that are typically removed several months after surgery.

Corneal transplantation has a high success rate, with more than 90% of procedures resulting in improved vision. However, as with any surgical procedure, there are risks involved, including infection, rejection of the donor tissue, and bleeding. Regular follow-up care is essential to monitor for any signs of complications and ensure proper healing.

A mutation is a permanent change in the DNA sequence of an organism's genome. Mutations can occur spontaneously or be caused by environmental factors such as exposure to radiation, chemicals, or viruses. They may have various effects on the organism, ranging from benign to harmful, depending on where they occur and whether they alter the function of essential proteins. In some cases, mutations can increase an individual's susceptibility to certain diseases or disorders, while in others, they may confer a survival advantage. Mutations are the driving force behind evolution, as they introduce new genetic variability into populations, which can then be acted upon by natural selection.

Current Procedural Terminology (CPT) is a system of medical codes, developed and maintained by the American Medical Association (AMA), that are used to describe medical, surgical, and diagnostic services provided by healthcare professionals. The codes are used for administrative purposes, such as billing and insurance claims processing, and consist of a five-digit alphanumeric code that identifies the specific service or procedure performed.

The CPT code set is organized into three categories: Category I codes describe common medical, surgical, and diagnostic services; Category II codes are used for performance measurement and tracking of quality improvement initiatives; and Category III codes are used for emerging technologies, experimental procedures, and services that do not have a defined CPT code.

Healthcare professionals and facilities rely on the accuracy and specificity of CPT codes to ensure appropriate reimbursement for their services. The AMA regularly updates the CPT code set to reflect changes in medical practice and technology, and provides guidance and resources to help healthcare professionals navigate the complexities of coding and billing.

Retinal dystrophies are a group of genetic eye disorders that primarily affect the retina, a light-sensitive layer at the back of the eye. These conditions are characterized by progressive degeneration and death of photoreceptor cells (rods and cones) in the retina, leading to vision loss.

The term "dystrophy" refers to a condition that results from the abnormal or defective development and function of tissues or organs. In the case of retinal dystrophies, the photoreceptor cells do not develop or function properly, resulting in visual impairment.

Retinal dystrophies can present at any age, from infancy to adulthood, and can have varying degrees of severity. Some common symptoms include night blindness, decreased visual acuity, loss of peripheral vision, light sensitivity, and color vision abnormalities.

Examples of retinal dystrophies include retinitis pigmentosa, Stargardt disease, Usher syndrome, and Leber congenital amaurosis, among others. These conditions are typically inherited and can be caused by mutations in various genes that play a role in the development and function of the retina.

There is currently no cure for retinal dystrophies, but research is ongoing to develop treatments that may slow or halt the progression of these conditions, such as gene therapy and stem cell transplantation.

Corneal pachymetry is a medical measurement of the thickness of the cornea, which is the clear, dome-shaped surface at the front of the eye. This measurement is typically taken using a specialized instrument called a pachymeter. The procedure is quick, painless, and non-invasive.

Corneal pachymetry is an essential test in optometry and ophthalmology for various reasons. For instance, it helps assess the overall health of the cornea, identify potential abnormalities or diseases, and determine the correct intraocular lens power during cataract surgery. Additionally, corneal thickness is a crucial factor in determining a person's risk for developing glaucoma and monitoring the progression of the disease.

In some cases, such as with contact lens fitting, corneal pachymetry can help ensure proper fit and minimize potential complications. Overall, corneal pachymetry is an essential diagnostic tool in eye care that provides valuable information for maintaining eye health and ensuring appropriate treatment.

Dimethylallyltranstransferase (DMAT) is an enzyme that plays a crucial role in the biosynthesis of various natural compounds, including terpenoids and alkaloids. These compounds have diverse functions in nature, ranging from serving as pigments and fragrances to acting as defense mechanisms against predators or pathogens.

The primary function of DMAT is to catalyze the head-to-tail condensation of dimethylallyl pyrophosphate (DMAPP) with various diphosphate-bound prenyl substrates, forming prenylated products. This reaction represents the first committed step in the biosynthesis of many terpenoids and alkaloids.

The enzyme's catalytic mechanism involves the formation of a covalent bond between the pyrophosphate group of DMAPP and a conserved cysteine residue within the DMAT active site, followed by the transfer of the dimethylallyl moiety to the diphosphate-bound prenyl substrate.

DMAT is found in various organisms, including bacteria, fungi, plants, and animals. In humans, DMAT is involved in the biosynthesis of steroids, which are essential components of cell membranes and precursors to important hormones such as cortisol, aldosterone, and sex hormones.

In summary, dimethylallyltranstransferase (DMAT) is an enzyme that catalyzes the condensation of dimethylallyl pyrophosphate (DMAPP) with various prenyl substrates, playing a critical role in the biosynthesis of diverse natural compounds, including terpenoids and alkaloids.

Transforming Growth Factor-beta (TGF-β) is a type of cytokine, which is a cell signaling protein involved in the regulation of various cellular processes, including cell growth, differentiation, and apoptosis (programmed cell death). TGF-β plays a critical role in embryonic development, tissue homeostasis, and wound healing. It also has been implicated in several pathological conditions such as fibrosis, cancer, and autoimmune diseases.

TGF-β exists in multiple isoforms (TGF-β1, TGF-β2, and TGF-β3) that are produced by many different cell types, including immune cells, epithelial cells, and fibroblasts. The protein is synthesized as a precursor molecule, which is cleaved to release the active TGF-β peptide. Once activated, TGF-β binds to its receptors on the cell surface, leading to the activation of intracellular signaling pathways that regulate gene expression and cell behavior.

In summary, Transforming Growth Factor-beta (TGF-β) is a multifunctional cytokine involved in various cellular processes, including cell growth, differentiation, apoptosis, embryonic development, tissue homeostasis, and wound healing. It has been implicated in several pathological conditions such as fibrosis, cancer, and autoimmune diseases.

Facioscapulohumeral Muscular Dystrophy (FSHD) is a genetic muscle disorder characterized by the progressive weakness and wasting (atrophy) of muscles in the face, shoulders, arms, and legs. It is caused by the abnormal expression of a gene called DUX4, which is normally only active during early embryonic development. In FSHD, this gene becomes reactivated in muscle cells, leading to their degeneration and death.

The symptoms of FSHD typically begin in late childhood or adolescence, although they can also appear in adulthood. The first noticeable sign is often difficulty raising the arms above the head or a weakened grip. Over time, the muscles of the face may become affected, leading to problems with smiling, swallowing, and speaking. The muscle weakness in FSHD tends to progress slowly, but it can vary widely from person to person. Some people with FSHD may require wheelchair assistance, while others may continue to walk with only minor limitations.

FSHD is inherited in an autosomal dominant manner, which means that a child has a 50% chance of inheriting the disease-causing gene from an affected parent. However, about 30% of cases are the result of new mutations and occur in people with no family history of the disorder. Currently, there is no cure for FSHD, but various treatments can help manage its symptoms and improve quality of life. These may include physical therapy, orthotics, assistive devices, and medications to treat pain or other complications.

Corneal diseases are a group of disorders that affect the cornea, which is the clear, dome-shaped surface at the front of the eye. The cornea plays an important role in focusing vision, and any damage or disease can cause significant visual impairment or loss. Some common types of corneal diseases include:

1. Keratoconus: A progressive disorder in which the cornea thins and bulges outward into a cone shape, causing distorted vision.
2. Fuchs' dystrophy: A genetic disorder that affects the inner layer of the cornea called the endothelium, leading to swelling, cloudiness, and decreased vision.
3. Dry eye syndrome: A condition in which the eyes do not produce enough tears or the tears evaporate too quickly, causing discomfort, redness, and blurred vision.
4. Corneal ulcers: Open sores on the cornea that can be caused by infection, trauma, or other factors.
5. Herpes simplex keratitis: A viral infection of the cornea that can cause recurrent episodes of inflammation, scarring, and vision loss.
6. Corneal dystrophies: Inherited disorders that affect the structure and clarity of the cornea, leading to visual impairment or blindness.
7. Bullous keratopathy: A condition in which the endothelium fails to pump fluid out of the cornea, causing it to swell and form blisters.
8. Corneal trauma: Injury to the cornea caused by foreign objects, chemicals, or other factors that can lead to scarring, infection, and vision loss.

Treatment for corneal diseases varies depending on the specific condition and severity of the disease. Options may include eyedrops, medications, laser surgery, corneal transplantation, or other treatments.

I'm sorry for any confusion, but "Keratin-3" is not a widely recognized or established medical term in the field of dermatology or pathology. There is a protein called Keratin 3 or KRT3 (also known as Cytokeratin 12), which is primarily expressed in simple epithelia, such as those found in the cornea and conjunctiva of the eye. However, it's not typically associated with skin disorders or diseases.

If you have any more specific context or details related to this term, I would be happy to help further!

Dystrophin is a protein that provides structural stability to muscle fibers. It is an essential component of the dystrophin-glycoprotein complex, which helps maintain the integrity of the sarcolemma (the membrane surrounding muscle cells) during muscle contraction and relaxation. Dystrophin plays a crucial role in connecting the cytoskeleton of the muscle fiber to the extracellular matrix, allowing for force transmission and protecting the muscle cell from damage.

Mutations in the DMD gene, which encodes dystrophin, can lead to various forms of muscular dystrophy, including Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD). In DMD, a severe form of the disease, genetic alterations typically result in little or no production of functional dystrophin, causing progressive muscle weakness, wasting, and degeneration. In BMD, a milder form of the disorder, partially functional dystrophin is produced, leading to less severe symptoms and later onset of the disease.

A missense mutation is a type of point mutation in which a single nucleotide change results in the substitution of a different amino acid in the protein that is encoded by the affected gene. This occurs when the altered codon (a sequence of three nucleotides that corresponds to a specific amino acid) specifies a different amino acid than the original one. The function and/or stability of the resulting protein may be affected, depending on the type and location of the missense mutation. Missense mutations can have various effects, ranging from benign to severe, depending on the importance of the changed amino acid for the protein's structure or function.

Exons are the coding regions of DNA that remain in the mature, processed mRNA after the removal of non-coding intronic sequences during RNA splicing. These exons contain the information necessary to encode proteins, as they specify the sequence of amino acids within a polypeptide chain. The arrangement and order of exons can vary between different genes and even between different versions of the same gene (alternative splicing), allowing for the generation of multiple protein isoforms from a single gene. This complexity in exon structure and usage significantly contributes to the diversity and functionality of the proteome.

Sulfotransferases (STs) are a group of enzymes that play a crucial role in the process of sulfoconjugation, which is the transfer of a sulfo group (-SO3H) from a donor molecule to an acceptor molecule. These enzymes are widely distributed in nature and are found in various organisms, including humans.

In humans, STs are involved in the metabolism and detoxification of numerous xenobiotics, such as drugs, food additives, and environmental pollutants, as well as endogenous compounds, such as hormones, neurotransmitters, and lipids. The sulfoconjugation reaction catalyzed by STs can increase the water solubility of these compounds, facilitating their excretion from the body.

STs can be classified into several families based on their sequence similarity and cofactor specificity. The largest family of STs is the cytosolic sulfotransferases, which use 3'-phosphoadenosine 5'-phosphosulfate (PAPS) as a cofactor to transfer the sulfo group to various acceptor molecules, including phenols, alcohols, amines, and steroids.

Abnormalities in ST activity have been implicated in several diseases, such as cancer, cardiovascular disease, and neurological disorders. Therefore, understanding the function and regulation of STs is essential for developing new therapeutic strategies to treat these conditions.

A heterozygote is an individual who has inherited two different alleles (versions) of a particular gene, one from each parent. This means that the individual's genotype for that gene contains both a dominant and a recessive allele. The dominant allele will be expressed phenotypically (outwardly visible), while the recessive allele may or may not have any effect on the individual's observable traits, depending on the specific gene and its function. Heterozygotes are often represented as 'Aa', where 'A' is the dominant allele and 'a' is the recessive allele.

Human chromosome pair 5 consists of two rod-shaped structures present in the nucleus of human cells, which contain genetic material in the form of DNA and proteins. Each member of chromosome pair 5 is a single chromosome, and humans typically have 23 pairs of chromosomes for a total of 46 chromosomes in every cell of their body (except gametes or sex cells, which contain 23 chromosomes).

Chromosome pair 5 is one of the autosomal pairs, meaning it is not a sex chromosome. Each member of chromosome pair 5 is approximately 197 million base pairs in length and contains around 800-900 genes that provide instructions for making proteins and regulating various cellular processes.

Chromosome pair 5 is associated with several genetic disorders, including cri du chat syndrome (resulting from a deletion on the short arm of chromosome 5), Prader-Willi syndrome and Angelman syndrome (both resulting from abnormalities in gene expression on the long arm of chromosome 5).

The corneal epithelium is the outermost layer of the cornea, which is the clear, dome-shaped surface at the front of the eye. It is a stratified squamous epithelium, consisting of several layers of flat, scale-like cells that are tightly packed together. The corneal epithelium serves as a barrier to protect the eye from microorganisms, dust, and other foreign particles. It also provides a smooth surface for the refraction of light, contributes to the maintenance of corneal transparency, and plays a role in the eye's sensitivity to touch and pain. The corneal epithelium is constantly being renewed through the process of cell division and shedding, with new cells produced by stem cells located at the limbus, the border between the cornea and the conjunctiva.

A phenotype is the physical or biochemical expression of an organism's genes, or the observable traits and characteristics resulting from the interaction of its genetic constitution (genotype) with environmental factors. These characteristics can include appearance, development, behavior, and resistance to disease, among others. Phenotypes can vary widely, even among individuals with identical genotypes, due to differences in environmental influences, gene expression, and genetic interactions.

Photorefractive Keratectomy (PRK) is a type of refractive surgery used to correct vision issues such as nearsightedness, farsightedness, and astigmatism. It works by reshaping the cornea using a laser, which alters how light enters the eye and focuses on the retina.

In PRK, the surgeon removes the thin outer layer of the cornea (epithelium) with an alcohol solution or a blunt surgical instrument before using the laser to reshape the underlying stromal layer. The epithelium then grows back during the healing process, which can take several days.

Compared to LASIK (another type of refractive surgery), PRK has a longer recovery time and may cause more discomfort in the first few days after surgery. However, it is an option for people who are not good candidates for LASIK due to thin corneas or other eye conditions.

It's important to note that while refractive surgeries like PRK can significantly improve vision and reduce dependence on glasses or contact lenses, they may not completely eliminate the need for corrective eyewear in all cases. Additionally, as with any surgical procedure, there are potential risks and complications associated with PRK, including infection, dry eye, and visual disturbances such as glare or halos around lights.

Corneal edema is a medical condition characterized by the accumulation of fluid in the cornea, which is the clear, dome-shaped surface at the front of the eye. This buildup of fluid causes the cornea to swell and thicken, resulting in blurry or distorted vision. Corneal edema can be caused by various factors, including eye injuries, certain medications, eye surgeries, and diseases that affect the eye's ability to pump fluids out of the cornea. In some cases, corneal edema may resolve on its own or with treatment, but in severe cases, it may require a corneal transplant.

Corneal keratocytes are specialized cells located within the stroma, which is the thickest layer of the cornea, which is the clear front "window" of the eye. These cells play a crucial role in maintaining the transparency and structural integrity of the cornea. Keratocytes are star-shaped cells that produce and maintain the extracellular matrix (ECM) of the corneal stroma, which consists mainly of collagen fibrils and proteoglycans.

In a healthy cornea, keratocytes exist in a quiescent state, but they can become activated and undergo phenotypic changes in response to injury or disease. Activated keratocytes can differentiate into fibroblasts or myofibroblasts, which participate in the wound healing process by synthesizing ECM components and contracting to help close wounds. However, an overactive or dysregulated wound healing response can lead to corneal opacity, scarring, and visual impairment.

Therefore, understanding the behavior and regulation of corneal keratocytes is essential for developing effective therapies and treatments for various corneal disorders and diseases.

An excimer laser is a type of laser that is used in various medical procedures, particularly in ophthalmology and dermatology. The term "excimer" is derived from "excited dimer," which refers to a short-lived molecule formed when two atoms combine in an excited state.

Excimer lasers emit light at a specific wavelength that is determined by the type of gas used in the laser. In medical applications, excimer lasers typically use noble gases such as argon, krypton, or xenon, combined with halogens such as fluorine or chlorine. The most commonly used excimer laser in medical procedures is the excimer laser that uses a mixture of argon and fluoride gas to produce light at a wavelength of 193 nanometers (nm).

In ophthalmology, excimer lasers are primarily used for refractive surgery, such as LASIK and PRK, to correct vision problems like myopia, hyperopia, and astigmatism. The laser works by vaporizing tiny amounts of tissue from the cornea, reshaping its curvature to improve the way light is focused onto the retina.

In dermatology, excimer lasers are used for various skin conditions, including psoriasis, vitiligo, and atopic dermatitis. The laser works by emitting high-energy ultraviolet (UV) light that selectively targets and destroys the abnormal cells responsible for these conditions while leaving surrounding healthy tissue intact.

Excimer lasers are known for their precision, accuracy, and minimal side effects, making them a popular choice in medical procedures where fine detail and tissue preservation are critical.

Emery-Dreifuss muscular dystrophy (EDMD) is a genetic disorder characterized by the triad of 1) early contractures of the elbow and Achilles tendons, 2) slowly progressive muscle weakness and wasting, which begins in the muscles around the shoulder and pelvis and later involves the arms and legs, and 3) cardiac conduction defects that can lead to serious heart rhythm abnormalities.

EDMD is caused by mutations in one of several genes, including the EMD, LMNA, FHL1, and SYNE1/2 genes. These genes provide instructions for making proteins that are important for maintaining the structure and function of muscle cells, as well as the electrical activity of the heart.

The symptoms of EDMD can vary in severity and age of onset, even among family members with the same genetic mutation. Treatment typically focuses on managing the symptoms of the disease, including physical therapy to maintain mobility, bracing or surgery for contractures, and medications to manage cardiac arrhythmias. In some cases, a heart transplant may be necessary.

Dominant genes refer to the alleles (versions of a gene) that are fully expressed in an individual's phenotype, even if only one copy of the gene is present. In dominant inheritance patterns, an individual needs only to receive one dominant allele from either parent to express the associated trait. This is in contrast to recessive genes, where both copies of the gene must be the recessive allele for the trait to be expressed. Dominant genes are represented by uppercase letters (e.g., 'A') and recessive genes by lowercase letters (e.g., 'a'). If an individual inherits one dominant allele (A) from either parent, they will express the dominant trait (A).

'Mice, Inbred mdx' is a genetic strain of laboratory mice that are widely used as a model to study Duchenne muscular dystrophy (DMD), a severe and progressive muscle-wasting disorder in humans. The 'mdx' designation refers to the specific genetic mutation present in these mice, which is a point mutation in the gene encoding for dystrophin, a crucial protein involved in maintaining the structural integrity of muscle fibers.

Inbred mdx mice carry a spontaneous mutation in exon 23 of the dystrophin gene, resulting in the production of a truncated and nonfunctional form of the protein. This leads to a phenotype that closely resembles DMD in humans, including muscle weakness, degeneration, and fibrosis. The inbred nature of these mice ensures consistent genetic backgrounds and disease manifestations, making them valuable tools for studying the pathophysiology of DMD and testing potential therapies.

It is important to note that while the inbred mdx mouse model has been instrumental in advancing our understanding of DMD, it does not fully recapitulate all aspects of the human disease. Therefore, findings from these mice should be carefully interpreted and validated in more complex models or human studies before translating them into clinical applications.

Genetic linkage is the phenomenon where two or more genetic loci (locations on a chromosome) tend to be inherited together because they are close to each other on the same chromosome. This occurs during the process of sexual reproduction, where homologous chromosomes pair up and exchange genetic material through a process called crossing over.

The closer two loci are to each other on a chromosome, the lower the probability that they will be separated by a crossover event. As a result, they are more likely to be inherited together and are said to be linked. The degree of linkage between two loci can be measured by their recombination frequency, which is the percentage of meiotic events in which a crossover occurs between them.

Linkage analysis is an important tool in genetic research, as it allows researchers to identify and map genes that are associated with specific traits or diseases. By analyzing patterns of linkage between markers (identifiable DNA sequences) and phenotypes (observable traits), researchers can infer the location of genes that contribute to those traits or diseases on chromosomes.

Eye proteins, also known as ocular proteins, are specific proteins that are found within the eye and play crucial roles in maintaining proper eye function and health. These proteins can be found in various parts of the eye, including the cornea, iris, lens, retina, and other structures. They perform a wide range of functions, such as:

1. Structural support: Proteins like collagen and elastin provide strength and flexibility to the eye's tissues, enabling them to maintain their shape and withstand mechanical stress.
2. Light absorption and transmission: Proteins like opsins and crystallins are involved in capturing and transmitting light signals within the eye, which is essential for vision.
3. Protection against damage: Some eye proteins, such as antioxidant enzymes and heat shock proteins, help protect the eye from oxidative stress, UV radiation, and other environmental factors that can cause damage.
4. Regulation of eye growth and development: Various growth factors and signaling molecules, which are protein-based, contribute to the proper growth, differentiation, and maintenance of eye tissues during embryonic development and throughout adulthood.
5. Immune defense: Proteins involved in the immune response, such as complement components and immunoglobulins, help protect the eye from infection and inflammation.
6. Maintenance of transparency: Crystallin proteins in the lens maintain its transparency, allowing light to pass through unobstructed for clear vision.
7. Neuroprotection: Certain eye proteins, like brain-derived neurotrophic factor (BDNF), support the survival and function of neurons within the retina, helping to preserve vision.

Dysfunction or damage to these eye proteins can contribute to various eye disorders and diseases, such as cataracts, age-related macular degeneration, glaucoma, diabetic retinopathy, and others.

A homozygote is an individual who has inherited the same allele (version of a gene) from both parents and therefore possesses two identical copies of that allele at a specific genetic locus. This can result in either having two dominant alleles (homozygous dominant) or two recessive alleles (homozygous recessive). In contrast, a heterozygote has inherited different alleles from each parent for a particular gene.

The term "homozygote" is used in genetics to describe the genetic makeup of an individual at a specific locus on their chromosomes. Homozygosity can play a significant role in determining an individual's phenotype (observable traits), as having two identical alleles can strengthen the expression of certain characteristics compared to having just one dominant and one recessive allele.

Neuroaxonal dystrophies (NADs) are a group of inherited neurological disorders characterized by degeneration of the neuronal axons, which are the long extensions of nerve cells that transmit impulses to other cells. This degeneration leads to progressive loss of motor and cognitive functions.

The term "neuroaxonal dystrophy" refers to a specific pattern of abnormalities seen on electron microscopy in nerve cells, including accumulation of membranous structures called "spheroids" or "tubulovesicular structures" within the axons.

NADs can be caused by mutations in various genes that play a role in maintaining the structure and function of neuronal axons. The most common forms of NADs include Infantile Neuroaxonal Dystrophy (INAD) or Seitelberger's Disease, and Late-Onset Neuroaxonal Dystrophy (LONAD).

Symptoms of INAD typically begin between ages 6 months and 2 years, and may include muscle weakness, hypotonia, decreased reflexes, vision loss, hearing impairment, and developmental delay. LONAD usually presents in childhood or adolescence with symptoms such as ataxia, dysarthria, cognitive decline, and behavioral changes.

Currently, there is no cure for NADs, and treatment is focused on managing symptoms and improving quality of life.

A base sequence in the context of molecular biology refers to the specific order of nucleotides in a DNA or RNA molecule. In DNA, these nucleotides are adenine (A), guanine (G), cytosine (C), and thymine (T). In RNA, uracil (U) takes the place of thymine. The base sequence contains genetic information that is transcribed into RNA and ultimately translated into proteins. It is the exact order of these bases that determines the genetic code and thus the function of the DNA or RNA molecule.

Human chromosome pair 20 is one of the 23 pairs of human chromosomes present in every cell of the body, except for the sperm and egg cells which contain only 23 individual chromosomes. Chromosomes are thread-like structures that carry genetic information in the form of genes.

Human chromosome pair 20 is an acrocentric chromosome, meaning it has a short arm (p arm) and a long arm (q arm), with the centromere located near the junction of the two arms. The short arm of chromosome 20 is very small and contains few genes, while the long arm contains several hundred genes that play important roles in various biological processes.

Chromosome pair 20 is associated with several genetic disorders, including DiGeorge syndrome, which is caused by a deletion of a portion of the long arm of chromosome 20. This syndrome is characterized by birth defects affecting the heart, face, and immune system. Other conditions associated with abnormalities of chromosome pair 20 include some forms of intellectual disability, autism spectrum disorder, and cancer.

Amyloidosis is a medical condition characterized by the abnormal accumulation of insoluble proteins called amyloid in various tissues and organs throughout the body. These misfolded protein deposits can disrupt the normal function of affected organs, leading to a range of symptoms depending on the location and extent of the amyloid deposition.

There are different types of amyloidosis, classified based on the specific proteins involved:

1. Primary (AL) Amyloidosis: This is the most common form, accounting for around 80% of cases. It results from the overproduction and misfolding of immunoglobulin light chains, typically by clonal plasma cells in the bone marrow. The amyloid deposits can affect various organs, including the heart, kidneys, liver, and nervous system.
2. Secondary (AA) Amyloidosis: This form is associated with chronic inflammatory diseases, such as rheumatoid arthritis, tuberculosis, or familial Mediterranean fever. The amyloid fibrils are composed of serum amyloid A protein (SAA), an acute-phase reactant produced during the inflammatory response. The kidneys are commonly affected in this type of amyloidosis.
3. Hereditary or Familial Amyloidosis: These forms are caused by genetic mutations that result in the production of abnormal proteins prone to misfolding and amyloid formation. Examples include transthyretin (TTR) amyloidosis, fibrinogen amyloidosis, and apolipoprotein AI amyloidosis. These forms can affect various organs, including the heart, nerves, and kidneys.
4. Dialysis-Related Amyloidosis: This form is seen in patients undergoing long-term dialysis for chronic kidney disease. The amyloid fibrils are composed of beta-2 microglobulin, a protein that accumulates due to impaired clearance during dialysis. The joints and bones are commonly affected in this type of amyloidosis.

The diagnosis of amyloidosis typically involves a combination of clinical evaluation, imaging studies, and tissue biopsy with the demonstration of amyloid deposition using special stains (e.g., Congo red). Treatment depends on the specific type and extent of organ involvement and may include supportive care, medications to target the underlying cause (e.g., chemotherapy, immunomodulatory agents), and organ transplantation in some cases.

Sarcoglycans are a group of proteins that are part of the dystrophin-glycoprotein complex in muscle cells. This complex helps to maintain the structural integrity of the muscle fiber by forming a link between the cytoskeleton and the extracellular matrix. Sarcoglycans are located on the surface of the muscle fiber and play a critical role in protecting the muscle from damage during contraction.

There are four main sarcoglycans, known as alpha, beta, gamma, and delta-sarcoglycan. Mutations in any one of these proteins can lead to a group of genetic disorders known as the sarcoglycanopathies, which are characterized by progressive muscle weakness and wasting. The most severe form of this disorder is called limb-girdle muscular dystrophy type 2C (LGMD2C), which is caused by mutations in the gamma-sarcoglycan gene.

In addition to their role in muscle cells, sarcoglycans have also been found to be expressed in other tissues, including the brain and the lungs, suggesting that they may have additional functions beyond their structural role in muscle.

Polymerase Chain Reaction (PCR) is a laboratory technique used to amplify specific regions of DNA. It enables the production of thousands to millions of copies of a particular DNA sequence in a rapid and efficient manner, making it an essential tool in various fields such as molecular biology, medical diagnostics, forensic science, and research.

The PCR process involves repeated cycles of heating and cooling to separate the DNA strands, allow primers (short sequences of single-stranded DNA) to attach to the target regions, and extend these primers using an enzyme called Taq polymerase, resulting in the exponential amplification of the desired DNA segment.

In a medical context, PCR is often used for detecting and quantifying specific pathogens (viruses, bacteria, fungi, or parasites) in clinical samples, identifying genetic mutations or polymorphisms associated with diseases, monitoring disease progression, and evaluating treatment effectiveness.

Corneal topography is a non-invasive medical imaging technique used to create a detailed map of the surface curvature of the cornea, which is the clear, dome-shaped surface at the front of the eye. This procedure provides valuable information about the shape and condition of the cornea, helping eye care professionals assess various eye conditions such as astigmatism, keratoconus, and other corneal abnormalities. It can also be used in contact lens fitting, refractive surgery planning, and post-surgical evaluation.

Molecular sequence data refers to the specific arrangement of molecules, most commonly nucleotides in DNA or RNA, or amino acids in proteins, that make up a biological macromolecule. This data is generated through laboratory techniques such as sequencing, and provides information about the exact order of the constituent molecules. This data is crucial in various fields of biology, including genetics, evolution, and molecular biology, allowing for comparisons between different organisms, identification of genetic variations, and studies of gene function and regulation.

The term "Asian Continental Ancestry Group" is a medical/ethnic classification used to describe a person's genetic background and ancestry. According to this categorization, individuals with origins in the Asian continent are grouped together. This includes populations from regions such as East Asia (e.g., China, Japan, Korea), South Asia (e.g., India, Pakistan, Bangladesh), Southeast Asia (e.g., Philippines, Indonesia, Thailand), and Central Asia (e.g., Kazakhstan, Uzbekistan, Tajikistan). It is important to note that this broad categorization may not fully capture the genetic diversity within these regions or accurately reflect an individual's specific ancestral origins.

Visual acuity is a measure of the sharpness or clarity of vision. It is usually tested by reading an eye chart from a specific distance, such as 20 feet (6 meters). The standard eye chart used for this purpose is called the Snellen chart, which contains rows of letters that decrease in size as you read down the chart.

Visual acuity is typically expressed as a fraction, with the numerator representing the testing distance and the denominator indicating the smallest line of type that can be read clearly. For example, if a person can read the line on the eye chart that corresponds to a visual acuity of 20/20, it means they have normal vision at 20 feet. If their visual acuity is 20/40, it means they must be as close as 20 feet to see what someone with normal vision can see at 40 feet.

It's important to note that visual acuity is just one aspect of overall vision and does not necessarily reflect other important factors such as peripheral vision, depth perception, color vision, or contrast sensitivity.

Confocal microscopy is a powerful imaging technique used in medical and biological research to obtain high-resolution, contrast-rich images of thick samples. This super-resolution technology provides detailed visualization of cellular structures and processes at various depths within a specimen.

In confocal microscopy, a laser beam focused through a pinhole illuminates a small spot within the sample. The emitted fluorescence or reflected light from this spot is then collected by a detector, passing through a second pinhole that ensures only light from the focal plane reaches the detector. This process eliminates out-of-focus light, resulting in sharp images with improved contrast compared to conventional widefield microscopy.

By scanning the laser beam across the sample in a raster pattern and collecting fluorescence at each point, confocal microscopy generates optical sections of the specimen. These sections can be combined to create three-dimensional reconstructions, allowing researchers to study cellular architecture and interactions within complex tissues.

Confocal microscopy has numerous applications in medical research, including studying protein localization, tracking intracellular dynamics, analyzing cell morphology, and investigating disease mechanisms at the cellular level. Additionally, it is widely used in clinical settings for diagnostic purposes, such as analyzing skin lesions or detecting pathogens in patient samples.

Anion transport proteins are specialized membrane transport proteins that facilitate the movement of negatively charged ions, known as anions, across biological membranes. These proteins play a crucial role in maintaining ionic balance and regulating various physiological processes within the body.

There are several types of anion transport proteins, including:

1. Cl-/HCO3- exchangers (also known as anion exchangers or band 3 proteins): These transporters facilitate the exchange of chloride (Cl-) and bicarbonate (HCO3-) ions across the membrane. They are widely expressed in various tissues, including the red blood cells, gastrointestinal tract, and kidneys, where they help regulate pH, fluid balance, and electrolyte homeostasis.
2. Sulfate permeases: These transporters facilitate the movement of sulfate ions (SO42-) across membranes. They are primarily found in the epithelial cells of the kidneys, intestines, and choroid plexus, where they play a role in sulfur metabolism and absorption.
3. Cl- channels: These proteins form ion channels that allow chloride ions to pass through the membrane. They are involved in various physiological processes, such as neuronal excitability, transepithelial fluid transport, and cell volume regulation.
4. Cation-chloride cotransporters: These transporters move both cations (positively charged ions) and chloride anions together across the membrane. They are involved in regulating neuronal excitability, cell volume, and ionic balance in various tissues.

Dysfunction of anion transport proteins has been implicated in several diseases, such as cystic fibrosis (due to mutations in the CFTR Cl- channel), distal renal tubular acidosis (due to defects in Cl-/HCO3- exchangers), and some forms of epilepsy (due to abnormalities in cation-chloride cotransporters).

An amino acid substitution is a type of mutation in which one amino acid in a protein is replaced by another. This occurs when there is a change in the DNA sequence that codes for a particular amino acid in a protein. The genetic code is redundant, meaning that most amino acids are encoded by more than one codon (a sequence of three nucleotides). As a result, a single base pair change in the DNA sequence may not necessarily lead to an amino acid substitution. However, if a change does occur, it can have a variety of effects on the protein's structure and function, depending on the nature of the substituted amino acids. Some substitutions may be harmless, while others may alter the protein's activity or stability, leading to disease.

A point mutation is a type of genetic mutation where a single nucleotide base (A, T, C, or G) in DNA is altered, deleted, or substituted with another nucleotide. Point mutations can have various effects on the organism, depending on the location of the mutation and whether it affects the function of any genes. Some point mutations may not have any noticeable effect, while others might lead to changes in the amino acids that make up proteins, potentially causing diseases or altering traits. Point mutations can occur spontaneously due to errors during DNA replication or be inherited from parents.

Transforming Growth Factor-beta 1 (TGF-β1) is a cytokine that belongs to the TGF-β superfamily. It is a multifunctional protein involved in various cellular processes, including cell growth, differentiation, apoptosis, and extracellular matrix production. TGF-β1 plays crucial roles in embryonic development, tissue homeostasis, and repair, as well as in pathological conditions such as fibrosis and cancer. It signals through a heteromeric complex of type I and type II serine/threonine kinase receptors, leading to the activation of intracellular signaling pathways, primarily the Smad-dependent pathway. TGF-β1 has context-dependent functions, acting as a tumor suppressor in normal and early-stage cancer cells but promoting tumor progression and metastasis in advanced cancers.

Oculopharyngeal Muscular Dystrophy (OPMD) is a genetic disorder that affects the muscles, particularly those around the eyes and throat. The medical definition of OPMD, as per the National Organization for Rare Disorders (NORD), is:

"Oculopharyngeal Muscular Dystrophy (OPMD) is an inherited neuromuscular disorder characterized by progressive weakness of specific muscle groups, particularly those around the eyes (ocular) and throat (pharyngeal). The symptoms may include drooping of the eyelids (ptosis), difficulty swallowing (dysphagia), and, in some cases, proximal limb weakness. Onset of the disorder usually occurs in adulthood, typically after age 40, but earlier onsets have been reported."

The underlying cause of OPMD is a genetic mutation that leads to the production of an abnormal protein in muscle cells, ultimately resulting in muscle degeneration and weakness.

Consanguinity is a medical and genetic term that refers to the degree of genetic relationship between two individuals who share common ancestors. Consanguineous relationships exist when people are related by blood, through a common ancestor or siblings who have children together. The closer the relationship between the two individuals, the higher the degree of consanguinity.

The degree of consanguinity is typically expressed as a percentage or fraction, with higher values indicating a closer genetic relationship. For example, first-degree relatives, such as parents and children or full siblings, share approximately 50% of their genes and have a consanguinity coefficient of 0.25 (or 25%).

Consanguinity can increase the risk of certain genetic disorders and birth defects in offspring due to the increased likelihood of sharing harmful recessive genes. The risks depend on the degree of consanguinity, with closer relationships carrying higher risks. It is important for individuals who are planning to have children and have a history of consanguinity to consider genetic counseling and testing to assess their risk of passing on genetic disorders.

Dystroglycans are a type of protein that play a crucial role in the structure and function of the muscle membrane (sarcolemma). They are an essential component of the dystrophin-glycoprotein complex, which helps maintain the stability and integrity of the sarcolemma during muscle contraction and relaxation.

Dystroglycans consist of two subunits: alpha-dystroglycan and beta-dystroglycan. Alpha-dystroglycan is a large, heavily glycosylated protein that extends from the intracellular space to the extracellular matrix, where it interacts with various extracellular matrix proteins such as laminin and agrin. Beta-dystroglycan, on the other hand, spans the muscle membrane and binds to dystrophin, a cytoskeletal protein that helps maintain the structural integrity of the sarcolemma.

Mutations in genes encoding for proteins involved in the glycosylation of alpha-dystroglycan can lead to a group of genetic disorders known as congenital muscular dystrophies, which are characterized by muscle weakness, hypotonia, and developmental delays. These disorders include Walker-Warburg syndrome, Fukuyama congenital muscular dystrophy, and Muscle-Eye-Brain disease, among others.

The Czech Republic is a country located in Central Europe. It is not a medical term or concept, so it does not have a specific medical definition. However, like any other country, the Czech Republic has its own healthcare system and medical facilities that provide various health services to its population. The Czech Republic is known for its high-quality healthcare and medical education, with many institutions being recognized worldwide.

Reflex Sympathetic Dystrophy (RSD), also known as Complex Regional Pain Syndrome (CRPS), is a chronic pain condition that most often affects a limb after an injury or trauma. It is characterized by prolonged or excessive pain and sensitivity, along with changes in skin color, temperature, and swelling.

The symptoms of RSD/CRPS are thought to be caused by an overactive sympathetic nervous system, which controls involuntary bodily functions such as heart rate, blood pressure, and sweating. In RSD/CRPS, the sympathetic nerves are believed to send incorrect signals to the brain, causing it to perceive intense pain even in the absence of any actual tissue damage.

RSD/CRPS can be classified into two types: Type 1, which occurs after an injury or trauma that did not directly damage the nerves, and Type 2, which occurs after a distinct nerve injury. The symptoms of both types are similar, but Type 2 is typically more severe and may involve more widespread nerve damage.

Treatment for RSD/CRPS usually involves a combination of medications, physical therapy, and other therapies such as spinal cord stimulation or sympathetic nerve blocks. Early diagnosis and treatment can help improve outcomes and reduce the risk of long-term complications.

Genetic heterogeneity is a phenomenon in genetics where different genetic variations or mutations in various genes can result in the same or similar phenotypic characteristics, disorders, or diseases. This means that multiple genetic alterations can lead to the same clinical presentation, making it challenging to identify the specific genetic cause based on the observed symptoms alone.

There are two main types of genetic heterogeneity:

1. Allelic heterogeneity: Different mutations in the same gene can cause the same or similar disorders. For example, various mutations in the CFTR gene can lead to cystic fibrosis, a genetic disorder affecting the respiratory and digestive systems.
2. Locus heterogeneity: Mutations in different genes can result in the same or similar disorders. For instance, mutations in several genes, such as BRCA1, BRCA2, and PALB2, are associated with an increased risk of developing breast cancer.

Genetic heterogeneity is essential to consider when diagnosing genetic conditions, evaluating recurrence risks, and providing genetic counseling. It highlights the importance of comprehensive genetic testing and interpretation for accurate diagnosis and appropriate management of genetic disorders.

A frameshift mutation is a type of genetic mutation that occurs when the addition or deletion of nucleotides in a DNA sequence is not divisible by three. Since DNA is read in groups of three nucleotides (codons), which each specify an amino acid, this can shift the "reading frame," leading to the insertion or deletion of one or more amino acids in the resulting protein. This can cause a protein to be significantly different from the normal protein, often resulting in a nonfunctional protein and potentially causing disease. Frameshift mutations are typically caused by insertions or deletions of nucleotides, but they can also result from more complex genetic rearrangements.

Single-Stranded Conformational Polymorphism (SSCP) is not a medical condition but rather a laboratory technique used in molecular biology and genetics. It refers to the phenomenon where a single-stranded DNA or RNA molecule can adopt different conformations or shapes based on its nucleotide sequence, even if the difference in the sequence is as small as a single base pair change. This property is used in SSCP analysis to detect mutations or variations in DNA or RNA sequences.

In SSCP analysis, the denatured single-stranded DNA or RNA sample is subjected to electrophoresis on a non-denaturing polyacrylamide gel. The different conformations of the single-stranded molecules migrate at different rates in the gel, creating multiple bands that can be visualized by staining or other detection methods. The presence of additional bands or shifts in band patterns can indicate the presence of a sequence variant or mutation.

SSCP analysis is often used as a screening tool for genetic diseases, cancer, and infectious diseases to identify genetic variations associated with these conditions. However, it has largely been replaced by more sensitive and accurate methods such as next-generation sequencing.

Genetic association studies are a type of epidemiological research that aims to identify statistical associations between genetic variations and particular traits or diseases. These studies typically compare the frequency of specific genetic markers, such as single nucleotide polymorphisms (SNPs), in individuals with a given trait or disease to those without it.

The goal of genetic association studies is to identify genetic factors that contribute to the risk of developing common complex diseases, such as diabetes, heart disease, or cancer. By identifying these genetic associations, researchers hope to gain insights into the underlying biological mechanisms of these diseases and develop new strategies for prevention, diagnosis, and treatment.

It's important to note that while genetic association studies can identify statistical associations between genetic markers and traits or diseases, they cannot prove causality. Further research is needed to confirm and validate these findings and to understand the functional consequences of the identified genetic variants.

Utrophin is a protein that is found in muscle cells. It is similar in structure and function to dystrophin, which is a protein that is deficient or abnormal in people with Duchenne and Becker muscular dystrophy. Utrophin is present in both fetal and adult muscle, but its expression is usually limited to the nerve endings of the muscle fibers. However, in certain conditions such as muscle injury or disease, utrophin can be upregulated and expressed more widely throughout the muscle fiber. Research has shown that increasing the levels of utrophin in muscle cells could potentially compensate for the lack of dystrophin and provide a therapeutic approach to treating muscular dystrophy.

Vitelliform Macular Dystrophy is a genetic eye condition that affects the macula, which is the central part of the retina responsible for sharp, detailed vision. This disorder is characterized by the formation of yellowish deposits or lesions beneath the retina at the macula, giving it an appearance similar to an egg yolk (hence the name "vitelliform"). These deposits can disturb vision and may lead to progressive vision loss over time.

There are different types of Vitelliform Macular Dystrophy, with the most common being Best's Disease or Vitelliform Macular Dystrophy type 1 (VMD1). This form is caused by mutations in the BEST1 gene and typically manifests in childhood or early adulthood. The condition can progress through various stages, including the appearance of a yellowish lesion, followed by atrophy and scarring of the retina, which can result in significant vision loss.

Another form is Vitelliform Macular Dystrophy type 2 (VMD2), caused by mutations in the PRPH2 gene. This condition tends to progress more slowly than VMD1 and may not lead to severe vision loss.

Early diagnosis, monitoring, and low-vision rehabilitation can help manage the symptoms of Vitelliform Macular Dystrophy and maintain visual function as much as possible.

Arcus senilis is a medical term that refers to the gray or white discoloration that forms around the outer edge (periphery) of the cornea, which is the clear, dome-shaped surface at the front of the eye. This condition is caused by the accumulation of cholesterol and other lipids in the corneal tissue, and it is more commonly seen in older adults over the age of 60.

Arcus senilis itself does not typically affect vision or cause any symptoms, but it can be a sign of underlying health issues such as high cholesterol levels or coronary artery disease. In some cases, the presence of arcus senilis may prompt doctors to recommend further testing to assess the patient's cardiovascular health.

It is important to note that arcus senilis should not be confused with arcus juvenilis, which is a similar condition that affects younger people and can be a sign of high cholesterol levels or other medical issues.

Amyloid is a term used in medicine to describe abnormally folded protein deposits that can accumulate in various tissues and organs of the body. These misfolded proteins can form aggregates known as amyloid fibrils, which have a characteristic beta-pleated sheet structure. Amyloid deposits can be composed of different types of proteins, depending on the specific disease associated with the deposit.

In some cases, amyloid deposits can cause damage to organs and tissues, leading to various clinical symptoms. Some examples of diseases associated with amyloidosis include Alzheimer's disease (where amyloid-beta protein accumulates in the brain), systemic amyloidosis (where amyloid fibrils deposit in various organs such as the heart, kidneys, and liver), and type 2 diabetes (where amyloid deposits form in the pancreas).

It's important to note that not all amyloid deposits are harmful or associated with disease. However, when they do cause problems, treatment typically involves managing the underlying condition that is leading to the abnormal protein accumulation.

A haplotype is a group of genes or DNA sequences that are inherited together from a single parent. It refers to a combination of alleles (variant forms of a gene) that are located on the same chromosome and are usually transmitted as a unit. Haplotypes can be useful in tracing genetic ancestry, understanding the genetic basis of diseases, and developing personalized medical treatments.

In population genetics, haplotypes are often used to study patterns of genetic variation within and between populations. By comparing haplotype frequencies across populations, researchers can infer historical events such as migrations, population expansions, and bottlenecks. Additionally, haplotypes can provide information about the evolutionary history of genes and genomic regions.

In clinical genetics, haplotypes can be used to identify genetic risk factors for diseases or to predict an individual's response to certain medications. For example, specific haplotypes in the HLA gene region have been associated with increased susceptibility to certain autoimmune diseases, while other haplotypes in the CYP450 gene family can affect how individuals metabolize drugs.

Overall, haplotypes provide a powerful tool for understanding the genetic basis of complex traits and diseases, as well as for developing personalized medical treatments based on an individual's genetic makeup.

Skeletal muscle, also known as striated or voluntary muscle, is a type of muscle that is attached to bones by tendons or aponeuroses and functions to produce movements and support the posture of the body. It is composed of long, multinucleated fibers that are arranged in parallel bundles and are characterized by alternating light and dark bands, giving them a striped appearance under a microscope. Skeletal muscle is under voluntary control, meaning that it is consciously activated through signals from the nervous system. It is responsible for activities such as walking, running, jumping, and lifting objects.

Basic Helix-Loop-Helix (bHLH) Leucine Zipper Transcription Factors are a type of transcription factors that share a common structural feature consisting of two amphipathic α-helices connected by a loop. The bHLH domain is involved in DNA binding and dimerization, while the leucine zipper motif mediates further stabilization of the dimer. These transcription factors play crucial roles in various biological processes such as cell fate determination, proliferation, differentiation, and apoptosis. They bind to specific DNA sequences called E-box motifs, which are CANNTG nucleotide sequences, often found in the promoter or enhancer regions of their target genes.

Collagen Type IV is a type of collagen that forms the structural basis of basement membranes, which are thin, sheet-like structures that separate and support cells in many types of tissues. It is a major component of the basement membrane's extracellular matrix and provides strength and flexibility to this structure. Collagen Type IV is composed of three chains that form a distinctive, mesh-like structure. Mutations in the genes encoding Collagen Type IV can lead to a variety of inherited disorders affecting the kidneys, eyes, and ears.

Antiporters, also known as exchange transporters, are a type of membrane transport protein that facilitate the exchange of two or more ions or molecules across a biological membrane in opposite directions. They allow for the movement of one type of ion or molecule into a cell while simultaneously moving another type out of the cell. This process is driven by the concentration gradient of one or both of the substances being transported. Antiporters play important roles in various physiological processes, including maintaining electrochemical balance and regulating pH levels within cells.

Genotype, in genetics, refers to the complete heritable genetic makeup of an individual organism, including all of its genes. It is the set of instructions contained in an organism's DNA for the development and function of that organism. The genotype is the basis for an individual's inherited traits, and it can be contrasted with an individual's phenotype, which refers to the observable physical or biochemical characteristics of an organism that result from the expression of its genes in combination with environmental influences.

It is important to note that an individual's genotype is not necessarily identical to their genetic sequence. Some genes have multiple forms called alleles, and an individual may inherit different alleles for a given gene from each parent. The combination of alleles that an individual inherits for a particular gene is known as their genotype for that gene.

Understanding an individual's genotype can provide important information about their susceptibility to certain diseases, their response to drugs and other treatments, and their risk of passing on inherited genetic disorders to their offspring.

The term "family" in a medical context often refers to a group of individuals who are related by blood, marriage, or adoption and who consider themselves to be a single household. This can include spouses, parents, children, siblings, grandparents, and other extended family members. In some cases, the term may also be used more broadly to refer to any close-knit group of people who provide emotional and social support for one another, regardless of their biological or legal relationship.

In healthcare settings, understanding a patient's family dynamics can be important for providing effective care. Family members may be involved in decision-making about medical treatments, providing care and support at home, and communicating with healthcare providers. Additionally, cultural beliefs and values within families can influence health behaviors and attitudes towards medical care, making it essential for healthcare professionals to take a culturally sensitive approach when working with patients and their families.

Decorin is a small proteoglycan, a type of protein with a attached sugar chain, that is found in the extracellular matrix of connective tissues in the body. It is composed of a core protein and one or more glycosaminoglycan (GAG) chains, specifically dermatan sulfate. Decorin plays important roles in the organization and biomechanical properties of collagen fibrils, regulation of cell proliferation and migration, and modulation of growth factor activity. It has been studied for its potential role in various physiological and pathological processes, including wound healing, fibrosis, and cancer.

"corneal dystrophy and sensorineural deafness , Hereditary Ocular Diseases". disorders.eyes.arizona.edu. Retrieved 2022-08-03. ... Corneal dystrophy Sensorineural hearing loss "Corneal dystrophy and perceptive deafness". "Corneal Dystrophy and Perceptive ... is a rare genetic disorder characterized by congenital hereditary corneal dystrophy that occurs alongside progressive hearing ... "Entry - #217400 - CORNEAL DYSTROPHY AND PERCEPTIVE DEAFNESS; CDPD - OMIM". www.omim.org. Retrieved 2022-08-03. Desir, Julie; ...
Kiuru-Enari S, Keski-Oja J, Haltia M (February 2005). "Cutis laxa in hereditary gelsolin amyloidosis". Br. J. Dermatol. 152 (2 ... Lattice corneal dystrophy type is a rare form of corneal dystrophy. It has no systemic manifestations, unlike the other type of ... the dystrophy, Lattice corneal dystrophy type II. Lattice corneal dystrophy was first described by Swiss ophthalmologist Hugo ... Lattice corneal dystrophy has three types: type I: with no systemic association. It is caused by mutations in TGFBI gene ...
Corneal dystrophy Thiel HJ, Behnke H (1967). "[A hitherto unknown subepithelial hereditary corneal dystrophy]". Klin Monatsbl ... Thiel-Behnke dystrophy is a rare form of corneal dystrophy affecting the layer that supports corneal epithelium. The dystrophy ... To clarify whether Thiel-Behnke corneal dystrophy is a separate entity from Reis-Bucklers corneal dystrophy, Kuchle et al. ( ... 1995) examined 28 corneal specimens with a clinically suspected diagnosis of corneal dystrophy of the Bowman layer by light and ...
Corneal opacity that results from hereditary dystrophies is usually symmetric. Corneal enlargement may result from megalocornea ... Buphthalmos and Haab's striae can often be seen in case of congenital glaucoma.[citation needed] Corneal cloudiness may have ... The typical infant who has congenital glaucoma usually is initially referred to an ophthalmologist because of apparent corneal ... The commonly described triad of epiphora (excessive tearing), blepharospasm and photophobia may be missed until the corneal ...
They include hereditary cataracts, corneal dystrophy, distichiasis, entropion, microphthalmia, progressive retinal atrophy, and ... ISBN 978-0-9635163-2-9. "Corneal Dystrophy and the Cavalier King Charles Spaniel". CavalierHealth.org. Retrieved 14 November ... The health problems shared with this breed include mitral valve disease, luxating patella, and hereditary eye issues such as ...
Congenital hereditary stromal dystrophy (CHSD): CHSD is also known as Congenital stromal corneal dystrophy or Congenital ... or Classic Lattice Dystrophy. LCD type II is not included in corneal dystrophies. Granular corneal dystrophy: Two types, Type 1 ... "Congenital Hereditary Endothelial Dystrophy - EyeWiki". eyewiki.aao.org. "Posterior Polymorphous Corneal Dystrophy - EyeWiki". ... Lattice corneal dystrophy: Lattice corneal dystrophy is an autosomal-dominant characterized by amyloid deposition in the ...
"Genomic organization of human CDS2 and evaluation as a candidate gene for corneal hereditary endothelial dystrophy 2 on ...
... (MECD) is a rare hereditary autosomal dominant disease that is characterized as a type of corneal ... "Meesmann corneal dystrophy". Genetics Home Reference. Retrieved 2020-05-01. "OMIM Entry - % 300778 - CORNEAL DYSTROPHY, LISCH ... There are two phenotypes, Meesmann corneal dystrophy 1 (MECD1) and Meesmann corneal dystrophy 2 (MECD2), which affect the genes ... by mutations in keratins Epithelial basement membrane dystrophy Reis-Bucklers corneal dystrophy Thiel-Behnke corneal dystrophy ...
... dystrophy Posterior polymorphous corneal dystrophy Congenital hereditary endothelial dystrophy X-linked endothelial corneal ... of lattice corneal dystrophy Granular corneal dystrophy, type 1 Granular corneal dystrophy, type 2 Macular corneal dystrophy ... Lattice corneal dystrophy Granular corneal dystrophy Macular corneal dystrophy Schnyder crystalline corneal dystrophy ... corneal dystrophy Gelatinous drop-like corneal dystrophy Reis-Bücklers corneal dystrophy Thiel-Behnke corneal dystrophy Stromal ...
The breed has minor predispositions to hypothyroidism, demodicosis, cataracts, retinal dysplasia and corneal dystrophy. Judy, ... hereditary sensory neuropathy, spinal muscle atrophy, X-linked cerebellar ataxia and deafness. ...
Congenital hereditary corneal dystrophy (CHED) is a form of corneal endothelial dystrophy that presents at birth. CHED was ... Posterior polymorphous corneal dystrophy (for the condition previously referred to as CHED1) Corneal dystrophy Bowes Hamill, M ... However in 2015, the International Classification of Corneal Dystrophies (IC3D) renamed the condition "CHED1" to become ... July 2006). "Mutations in sodium-borate cotransporter SLC4A11 cause recessive congenital hereditary endothelial dystrophy ( ...
Significant damage to the membrane may require a corneal transplant. Damage caused by the hereditary condition known as Fuchs ... dystrophy (q.v.)-where Descemet's membrane progressively fails and the cornea thickens and clouds because the exchange of ... The corneal endothelium is a single layer of squamous cells covering the surface of the cornea that faces the anterior chamber ... In the process most of the squamous cells of the donor membrane survive to dramatically and emphatically reverse the corneal ...
... polymorphic Macular dystrophy, vitelliform Macules hereditary congenital hypopigmented and hyperpigmented Mad cow disease ... palate Macrothrombocytopenia progressive deafness Macrothrombocytopenia with leukocyte inclusions Macular corneal dystrophy ... facioscapulohumeral Muscular dystrophy Hutterite type Muscular dystrophy limb girdle type 2A, Erb type Muscular dystrophy limb- ... Muscular dystrophy limb-girdle with delta-sarcoglyan deficiency Muscular dystrophy white matter spongiosis Muscular dystrophy, ...
Some of the more common hereditary health problems found in the Cairn are: Bronchoesophageal fistula Cataracts Corneal ... dystrophy Craniomandibular osteopathy (lion jaw) Diabetes mellitus Entropion Hip dysplasia Hypothyroidism Krabbe disease ( ...
371.2 Corneal oedema 371.3 Changes of corneal membranes 371.4 Corneal degenerations 371.5 Hereditary corneal dystrophies 371.6 ... dystrophies and other myopathies 359.0 Congenital hereditary muscular dystrophy 359.1 Hereditary progressive muscular dystrophy ... keratitis 370.9 Unspecified 371 Corneal opacity and other disorders of cornea 371.0 Corneal scars and opacities 371.1 Corneal ... 362.5 Degeneration of macula and posterior pole 362.6 Peripheral retinal degenerations 362.7 Hereditary retinal dystrophies ...
... corneal dystrophies, hereditary MeSH C11.204.236.438 - Fuchs' endothelial dystrophy MeSH C11.204.267 - corneal edema MeSH ... corneal dystrophies, hereditary MeSH C11.270.162.438 - Fuchs' endothelial dystrophy MeSH C11.270.235 - duane retraction ... hereditary MeSH C11.640.451.451.400 - optic atrophy, hereditary, leber MeSH C11.640.451.451.500 - optic atrophy, autosomal ... C11.204.290 - corneal neovascularization MeSH C11.204.299 - corneal opacity MeSH C11.204.299.070 - arcus senilis MeSH C11.204. ...
... progressive peripheral neuropathy and corneal lattice dystrophy, some of the affected members of the Iranian family have ... Hereditary gelsolin amyloidosis has originally been reported by Finnish ophthalmologist Jouko Meretoja and is known as Meretoja ... Ardalan-Shoja-Kiuru syndrome or hereditary gelsolin amyloidosis plus retinitis pigmentosa has not been found outside this ... Ardalan-Shoja-Kiuru syndrome is a clinical syndrome featuring hereditary gelsolin amyloidosis and retinitis pigmentosa. This ...
Meesmann corneal dystrophy Paraneoplastic keratoderma Pityriasis rosea (pityriasis rosea Gibert) Pityriasis rubra pilaris ( ... hereditary painful callosities, hereditary painful callosity syndrome, keratosis follicularis, keratosis palmoplantaris ... Median nail dystrophy (dystrophia unguis mediana canaliformis, median canaliform dystrophy of Heller, solenonychia) Mees' lines ... Hemodialysis-associated amyloidosis Hepatoerythropoietic porphyria Hereditary coproporphyria Hereditary gelsolin amyloidosis ...
TACSTD2 Corneal dystrophy, Groenouw type I; 121900; TGFBI Corneal dystrophy, hereditary polymorphous posterior; 122000; VSX1 ... COL8A2 Corneal dystrophy, Avellino type; 607541; TGFBI Corneal dystrophy, congenital stromal; 610048; DCN Corneal dystrophy, ... Corneal dystrophy, lattice type I; 122200; TGFBI Corneal dystrophy, lattice type IIIA; 608471; TGFBI Corneal dystrophy, ... ZEB1 Corneal dystrophy, Reis-Bucklers type; 608470; TGFBI Corneal dystrophy, Thiel-Behnke type; 602082; TGFBI Corneal ...
... palmoplantaris esophageal colon cancer Keratosis palmoplantaris papulosa Keratosis palmoplantaris with corneal dystrophy ... hereditary Keratoacanthoma familial Keratoacanthoma Keratoconjunctivitis sicca Keratoconus posticus circumscriptus Keratoconus ...
... corneal dystrophies, hereditary MeSH C16.320.290.162.410 - Fuchs' endothelial dystrophy MeSH C16.320.290.235 - Duane retraction ... muscular dystrophies, limb-girdle MeSH C16.320.577.300 - muscular dystrophy, Duchenne MeSH C16.320.577.350 - muscular dystrophy ... hereditary central nervous system demyelinating diseases MeSH C16.320.400.400 - hereditary motor and sensory neuropathies MeSH ... hereditary MeSH C16.320.400.630.400 - optic atrophy, hereditary, leber MeSH C16.320.400.630.500 - optic atrophy, autosomal ...
Central cloudy dystrophy of François (See also corneal dystrophy.) François-Neetens dystrophy Fraser-François syndrome ... In 1983 he was included in the Belgian hereditary nobility with the title of baron. He chose as his motto Ex oculo lux. He ... Central cloudy dystrophy of François, University of Iowa Health Care, Ophthalmology and Visual Sciences Paul Chibret and the ... Central Cloudy Dystrophy of François. In Encyclopedia of Molecular Mechanisms of Disease (pp. 300-300). Springer Berlin ...
... from birth and progressive macular corneal dystrophy. Hair growth on the head is noticeably less full than normal, and the ... Hypotrichosis with juvenile macular dystrophy is an autosomal recessive hereditary disease. It is caused by a combination of ... Hypotrichosis with juvenile macular dystrophy (HJMD or CDH3) is an extremely rare congenital disease characterized by sparse ... "A Rare Syndrome: Hypotrichosis with Juvenile Macular Dystrophy (HJMD)". Investigative Ophthalmology & Visual Science. 55 (13): ...
... retardation Corneal cerebellar syndrome Corneal crystals myopathy neuropathy Corneal dystrophy Corneal endothelium dystrophy ... photocontact Continuous muscle fiber activity hereditary Continuous spike-wave during slow sleep syndrome Contractural ... hearing loss Condyloma acuminatum Condylomata lata Cone dystrophy Cone rod dystrophy amelogenesis imperfecta Cone-rod dystrophy ... recessive Cutis laxa corneal clouding mental retardation Cutis laxa osteoporosis Cutis laxa with joint laxity and retarded ...
2007). "Autosomal recessive corneal endothelial dystrophy (CHED2) is associated with mutations in SLC4A11". J. Med. Genet. 44 ( ... 2007). "Mutational spectrum of the SLC4A11 gene in autosomal recessive congenital hereditary endothelial dystrophy". Mol. Vis. ... 2003). "Clinicopathologic correlation and genetic analysis in a case of posterior polymorphous corneal dystrophy". Am. J. ... 2007). "Borate transporter SLC4A11 mutations cause both Harboyan syndrome and non‐syndromic corneal endothelial dystrophy". J. ...
Hereditary m Hereditary amyloidosis Hereditary angioedema Hereditary ataxia Hereditary carnitine deficiency myopathy Hereditary ... Hemifacial hyperplasia strabismus Hemifacial microsomia Hemihypertrophy in context of NF Hemihypertrophy intestinal web corneal ... transport defect Hypothyroidism postaxial polydactyly mental retardation Hypothyroidism Hypotonic sclerotic muscular dystrophy ... Hereditary t Hereditary nodular heterotopia Hereditary non-spherocytic hemolytic anemia Hereditary pancreatitis Hereditary ...
... type IV Lattice corneal dystrophy, gelsolin type Lattice corneal dystrophy type 2 (LCD2) Meretoja's syndrome Wrinkly skin ... Kiuru‐Enari, S.; Keski‐Oja, J.; Haltia, M. (2005). "Cutis laxa in hereditary gelsolin amyloidosis". British Journal of ... The most common characteristic is type II lattice corneal dystrophy with other signs such as polyneuropathy, dermatochalasis, ... Familial Amyloidosis, Finnish Type (FAF), also called hereditary gelsolin amyloidosis and AGel amyloidosis (AGel), is an ...
... gene syndrome Conus medullaris syndrome Cooks syndrome Cord colitis syndrome Corneal-cerebellar syndrome Corneal dystrophy- ... cancer syndrome Hereditary hyperbilirubinemia Hereditary leiomyomatosis and renal cell cancer syndrome Hereditary neuralgic ... syndrome GRACILE syndrome Graham-Little syndrome Gray baby syndrome Gray platelet syndrome Grayson-Wilbrandt corneal dystrophy ... syndrome somatostatinoma syndrome Sopite syndrome Sotos syndrome Space adaptation syndrome Spastic ataxia-corneal dystrophy ...
"Orphanet: Congenital muscular dystrophy". www.orpha.net. Retrieved 2019-04-16. "Corneal dystrophy and perceptive deafness - ... "Hereditary disorder found in Que. families". CTV News. 4 December 2008. Archived from the original on 2008-12-07. "OMIM Entry ... "OMIM Entry - # 310200 - MUSCULAR DYSTROPHY, DUCHENNE TYPE; DMD". omim.org. Retrieved 2019-04-16. Uitto J, Has C, Vahidnezhad H ... "Orphanet: Autosomal dominant limb girdle muscular dystrophy". www.orpha.net. Retrieved 2019-04-16. "'MEDNIK': A novel genetic ...
The eye problems associated with the King Charles Spaniel include cataracts, corneal dystrophy, distichia, entropion, ... Other congenital and hereditary disorders found in the King Charles Spaniel are hanging tongue, where a neurological defect ... with ages of onset ranging from six months for cataracts to two to five years for corneal dystrophy. Heart conditions related ...
Posterior amorphous corneal dystrophy. Carpel EF, Sigelman RJ, Doughman DJ. Posterior amorphous corneal dystrophy. Am J ... Posterior amorphous corneal dystrophy caused by a de novo deletion. Odent S, Casteels I, Cassiman C, Dieltiens M, Hua MT, ... Posterior amorphous corneal dystrophy. A new pedigree with phenotypic variation. Moshegov CN, Hoe WK, Wiffen SJ, Daya SM. ... Corneal Dystrophy, Posterior Amorphous. Clinical Characteristics. Ocular Features: The iris abnormalities consisting of ...
"corneal dystrophy and sensorineural deafness , Hereditary Ocular Diseases". disorders.eyes.arizona.edu. Retrieved 2022-08-03. ... Corneal dystrophy Sensorineural hearing loss "Corneal dystrophy and perceptive deafness". "Corneal Dystrophy and Perceptive ... is a rare genetic disorder characterized by congenital hereditary corneal dystrophy that occurs alongside progressive hearing ... "Entry - #217400 - CORNEAL DYSTROPHY AND PERCEPTIVE DEAFNESS; CDPD - OMIM". www.omim.org. Retrieved 2022-08-03. Desir, Julie; ...
Congenital stromal corneal dystrophy is an inherited eye disorder. Explore symptoms, inheritance, genetics of this condition. ... Congenital hereditary stromal dystrophy of the cornea. Arch Ophthalmol. 1978 Jun;96(6):1043-51. doi: 10.1001/archopht. ... medlineplus.gov/genetics/condition/congenital-stromal-corneal-dystrophy/ Congenital stromal corneal dystrophy. ... Congenital stromal corneal dystrophy is caused by mutations in the DCN gene. This gene provides instructions for making a ...
Hereditary lattice corneal dystrophy Keratoepithelin[63] Cutaneous lichen amyloidosis[69] Keratins Mallory bodies[70] Keratin ... TTR amyloidosis can be slowed in some hereditary cases by liver transplantation.[83] TTR amyloidosis also can be treated by ... "Liver transplantation for hereditary transthyretin amyloidosis". Liver Transpl. 6 (3): 263-276. doi:10.1053/lv.2000.6145. PMID ... "Mechanism of Action and Clinical Application of Tafamidis in Hereditary Transthyretin Amyloidosis". Neurol Ther. 5 (1): 1-25. ...
... is a rare autosomal dominant stromal dystrophy that is characterized by bilateral corneal opacification, resulting from an ... Hereditary crystalline stromal dystrophy of Schnyder. I. Clinical features of a family with hyperlipoproteinaemia. Br J ... Schnyder corneal dystrophy (SCD), also called Schnyder crystalline corneal dystrophy (SCCD), is a rare autosomal-dominant ... encoded search term (Schnyder Corneal Dystrophy) and Schnyder Corneal Dystrophy What to Read Next on Medscape ...
Four autosomal dominant corneal dystrophies (CDs); granular CD (GCD), Avellino CD (ACD), lattice CD (LCD), and Reis-Bücklers CD ... Corneal Dystrophies, Hereditary / classification * Corneal Dystrophies, Hereditary / genetics* * Corneal Dystrophies, ... Corneal dystrophies in Japan J Hum Genet. 2001;46(8):431-5. doi: 10.1007/s100380170041. ... Gelatinous drop-like corneal dystrophy (GDLD), on the other hand, which was found in Japanese patients in 1914, is a rare ...
... gene segregate with a wide range of phenotypically heterogeneous corneal dystrophies. Many of the other dystrophies remain ... Aim The corneal dystrophies represent a group of clinically and genetically heterogeneous, inherited diseases, often resulting ... Methods Nineteen unrelated individuals affected with a corneal dystrophy (granular, fleck, lattice, posterior polymorphous) and ... TGFBI mutational analysis in a New Zealand population of inherited corneal dystrophy patients ...
Corneal epithelial-stromal and stromal dystrophies are a group of inherited disorders of the cornea that are caused by ... Congenital hereditary stromal dystrophy. EPITHELIAL-STROMAL CORNEAL DYSTROPHIES. Epithelial-stromal dystrophies are caused by ... REIS-BUCKLERS CORNEAL DYSTROPHY Reis-Bücklers, formerly known as Granular corneal dystrophy type III or Corneal Dystrophy of ... LATTICE CORNEAL DYSTROPHY Lattice corneal dystrophy (LCD) is the most common of the corneal epithelial-stromal dystrophies. It ...
Corneal Transplantation - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the Merck Manuals - Medical ... because of deposits of nontransparent abnormal corneal stromal proteins as occurs in hereditary corneal stromal dystrophy, or ... In patients with Fuchs corneal dystrophy involving the central cornea only, another corneal transplant technique called ... Depending on the indication, the entire thickness of the cornea, corneal stroma, the corneal endothelium alone, or corneal stem ...
... refer to the development of irreversible corneal edema as a complication of cataract surgery. As corneal edema progresses and ... Desir J, Abramowicz M. Congenital hereditary endothelial dystrophy with progressive sensorineural deafness (Harboyan syndrome ... Corneal dystrophies and degenerations. The Cornea: Scientific Foundations and Clinical Practice. 3rd ed. Lippincott William & ... Hyperosmolar Eye Drops for Diurnal Corneal Edema in Fuchs Endothelial Dystrophy: A Double-Masked, Randomized Controlled Trial ...
Chapter 7: Corneal Dystrophies and Ectasias. Ectatic Disorders. Keratoglobus. Keratoglobus is a rare, bilateral, ... It is usually not hereditary. Keratoglobus manifests as a globular rather than a conical deformation of the cornea (Fig 7-35). ... The corneal curvature may be as steep as 50-60 D, and generalized thinning appears, especially in the periphery. This is in ... The corneal diameter may be slightly increased. Fleischer rings are usually not present, but prominent folds and areas of ...
Hereditary Choroidal Dystrophies. H31.20, H31.21, H31.22, H31.23, H31.29. Hereditary Corneal Dystrophies. H18.50, H18.51, ... Corneal Edema. H18.11, H18.12, H18.13, H18.20, H18.221, H18.222, H18.223, H18.231,. H18.232, H18.233, H18.421, H18.422, H18.423 ... Glaucoma Associated with Congenital Anomalies, Dystrophies, and Systemic Syndromes. H40.31X0, H40.31X1, H40.31X2, H40.31X3, ... This outcome is achieved consistently through careful attention through the accurate measurement of axial length and corneal ...
Corneal dystrophy-epithelial/stromal.. Inheritance - not defined.. Breeding advice - breeder option.. A non-inflammatory ... The hereditary basis has not been established although it seem probable due to the high incidence in some breeds. Reducing the ... A corneal disease involving all or part of the cornea, resulting from inadequate blinking. This results from a combination of ... For some of the conditions they are listed as "breeders option" to use a dog diagnosed with the condition as the hereditary ...
With some hereditary eye diseases, like corneal dystrophies, patients may not show symptoms until a disease is in its later ... She currently leads the International Committee for Classification of Corneal Dystrophies, a group of corneal dystrophy experts ... She has been an international leader in the field of corneal dystrophies - inherited diseases affecting the front of the eye, ... Weiss interest in one disease, Schnyder corneal dystrophy, led her to discover the diseases genetic cause, which she hopes ...
This endothelial dysfunction may occur as a result of hereditary conditions, such as Fuchs endothelial dystrophy (Stamler et ... Confirmation of the association between the TCF4 risk allele and Fuchs endothelial corneal dystrophy in patients from the ... Activation of TGF-β signaling induces cell death via the unfolded protein response in Fuchs endothelial corneal dystrophy ... p53-regulated increase in oxidative-stress--induced apoptosis in Fuchs endothelial corneal dystrophy: a native tissue model ...
Corneal Dystrophy: If huskies inherited this hereditary disease, small white dots will appear in their cornea, and cause hazy ... The density of a Siberian Huskys coat is affected by both hereditary and environmental variables. Brushing and bathing the dog ...
... to look for various sources of stem cells that can generate corneal endothelial cells for corneal endothelial dystrophies, ... for treating glaucoma-induced vision loss and other age-related and hereditary retinal dystrophies. Apart from some of the ... While this approach works well for the corneal epithelium, reconstruction of other damaged ocular tissues pose a greater ... Simple refractive error corrections and advanced surgical procedures like cataract surgeries, corneal transplantations and ...
Corneal Transplantation - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical ... because of deposits of nontransparent abnormal corneal stromal proteins as occurs in hereditary corneal stromal dystrophy, or ... In patients with Fuchs corneal dystrophy involving the central cornea only, another corneal transplant technique called ... Depending on the indication, the entire thickness of the cornea, corneal stroma, the corneal endothelium alone, or corneal stem ...
... the epithelial and endothelial dystrophies, the lipid dystrophies, keratitis pigmentosa and keratoconjunctivitis sicca whilst ... The corneal irritation, inflammation and ulceration that can accompany this condition are due to the presence of accessory or ... Exposure keratitis and even corneal ulceration may ensue and drainage of the tear film via the nasolacrimal duct may also be ... However, in others the hairs cause trigeminal irritation and possible corneal damage. Distichiasis is commonplace in several ...
... and Hereditary Corneal Dystrophies Available until March 5, 2026 - Online CME Course ... Ophthalmology Grand Rounds Episode 64: Venous Sinus Stenting for Papilledema and Corneal Complications of scleral lens wear ...
Corneal Dystrophy, Lattice Type I. Clinical Characteristics. Ocular Features: Lattice corneal dystrophy type I is one of the ... Corneal Dystrophy, Granular. Clinical Characteristics. Ocular Features: The corneal opacities in this disorder are usually ... of Clinical Manifestation of Granular Corneal Deposits Because of Recurrent Corneal Erosion in Granular Corneal Dystrophy Types ... of Clinical Manifestation of Granular Corneal Deposits Because of Recurrent Corneal Erosion in Granular Corneal Dystrophy Types ...
... patients with Avellino corneal dystrophy and 2 unaffected subjects were collected from a Chinese family with corneal dystrophy ... The hereditary pattern was in accordance with the autosomal dominant inheritance. Directly sequencing of 8 affected members ... Show full abstract] Methods: This Chinese family with Avellino corneal dystrophy were determined and surveyed in Peking ... Conclusion: R124H mutation of the TGFBI gene is found in this Chinese family with Avellino corneal dystrophy. ...
Hereditary fundus dystrophies. Retinal detachment. Vitreous opacities. Strabismus. Neuro-ophthalmology. Ocular side effects of ...
Corneal Dystrophy (Rare Hereditary Disorders of the Cornea). Symptoms. * *There are three different types: Epithelial - affects ... Select your dog from a breeder whose dogs have no history of corneal dystrophy. ... This is a hereditary disease.. *Select your puppy from a reputable breeder that can provide you with a health record to prove ... The cause of cataracts in young dogs is usually hereditary, so be sure to get your puppy from a reputable breeder who has had ...
Corneal Transplantation - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical ... because of deposits of nontransparent abnormal corneal stromal proteins as occurs in hereditary corneal stromal dystrophy, or ... In patients with Fuchs corneal dystrophy involving the central cornea only, another corneal transplant technique called ... Depending on the indication, the entire thickness of the cornea, corneal stroma, the corneal endothelium alone, or corneal stem ...
... and Hereditary Corneal Dystrophies. Mayo clinic Ophthalmology Grand Rounds Episode 69: Cases of Severe Thyroid Eye Disease and ... Mayo clinic Ophthalmology Grand Rounds Episode 64: Venous Sinus Stenting for Papilledema and Corneal Complications of scleral ... Hereditary, Drug, Learning, Program, Par, Combined, post-test, Provides, exam, Evaluation, Discovery, Immunobiology, ... Hereditary, Drug, Learning, Program, Par, Combined, post-test, Provides, exam, Evaluation, Discovery, Immunobiology, ...
Epithelial basement membrane corneal dystrophy (EBMCD), aka map-finger-dot dystrophy, Cogan microcystic dystrophy, and anterior ... Classification International Classification of Corneal Dystrophies (IC3D) (2015):Sub-classified by the anatomic location ... basement membrane dystrophyMeesmann corneal dystrophy (MECD) or juvenile epithelial corneal dystrophyEpithelial-stromal or ... Collection of rare hereditary non-inflammatory disorders of abnormal deposition of substances in the cornea. ...
Hereditary Nasal Parakeratosis - Normal/Clear. Macular Corneal Dystrophy, MCD - Normal/Clear. Narcolepsy - Normal/Clear ...
  • Congenital stromal corneal dystrophy (CSCD) is an autosomal dominant condition with clouding of the cornea due to stromal opacities. (nih.gov)
  • The corneal opacities in this disorder are usually located in the anterior stroma of the central cornea, and consist of discrete grayish-white, irregular granules with sharp margins. (arizona.edu)
  • Meesmann corneal dystrophy is an eye disease that affects the cornea, which is the clear front covering of the eye. (medlineplus.gov)
  • This condition is characterized by the formation of tiny round cysts in the outermost layer of the cornea, called the corneal epithelium. (medlineplus.gov)
  • Mutations in cornea-specific keratin K3 or K12 genes cause Meesmann's corneal dystrophy. (medlineplus.gov)
  • Below is a list of the symptoms people with this condition exhibit: Corneal dystrophy Clouding of the cornea Nystagmus Blurry vision Generalized vision impairment Progressive post-lingual hearing loss The latter usually appears between the ages of 20 and 30 years old. (wikipedia.org)
  • Weiss JS: Schnyder's dystrophy of the cornea: a Swede-Finn connection. (medscape.com)
  • Ultrastructural changes in the posterior layers of the cornea in Schnyder's crystalline dystrophy. (medscape.com)
  • In patients with Fuchs corneal dystrophy involving the central cornea only, another corneal transplant technique called Descemet stripping only (DSO, not a true transplant because nothing is transplanted) has been used. (msdmanuals.com)
  • The corneal endothelium maintains the level of hydration in the cornea and dysfunction of the endothelium results in excess water accumulation with swelling of the stroma and loss of transparency. (medpagetoday.com)
  • Bilateral hereditary disorders of the cornea, usually autosomal dominant, which may be present at birth but more frequently develop during adolescence and progress slowly throughout life. (bvsalud.org)
  • Often inherited, keratoconus is a corneal condition in which the cornea progressively thins and bulges outward. (lasereyecenter.com)
  • Those not eligible for human corneal transplantation may qualify for our Artificial Cornea Program, the largest program of its kind in the Midwest for implanting keratoprostheses. (uillinois.edu)
  • Cornea specialists also work with the Contact Lens Service to offer advanced contact lens therapies, including the PROSE lens, and offer the opportunity to participate in the latest clinical trials for dry-eye diseases, corneal transplantation, and corneal infections. (uillinois.edu)
  • High-resolution optical coherence tomography of the cornea may have abnormal findings of epithelial hyper-reflectivity with normal thickness and no stromal involvement, [6] but corneal topography may also be normal. (eyewiki.org)
  • It is a bilateral, slowly progressive disease that results in recurrent corneal erosions and decreased vision due to opacification of the cornea. (medscape.com)
  • A dystrophy of the cornea is defined as a bilateral noninflammatory clouding of the cornea. (medscape.com)
  • Corneal dystrophies can be placed into 3 categories based on their location within the cornea: (1) Anterior corneal dystrophies affect the corneal epithelium and may involve the Bowman layer, (2) stromal corneal dystrophies affect the central layer of the cornea (the stroma), and (3) posterior corneal dystrophies involve the Descemet membrane and the endothelium. (medscape.com)
  • The cornea can be affected by various diseases including infections, corneal ulcers or dystrophies that can damage it and cause it not to be clear. (hattiesburgeyeclinic.com)
  • Fuchs' endothelial dystrophy is a hereditary abnormality of the inner cell layer of the cornea called the endothelium. (hattiesburgeyeclinic.com)
  • Although corneal transplant is almost always the necessary treatment to restore vision when the cornea becomes clouded, there are other measures that can be taken to prolong vision in the early stages of disease. (hattiesburgeyeclinic.com)
  • Recently, the International Committee for Classification of Corneal Dystrophy (IC3D) developed a new classification system based on different layers of the cornea of which that is affected [ 2 , 3 ]. (ekjo.org)
  • Congenital stromal corneal dystrophy is characterized by the presence of bilateral corneal opacities that can be seen at or shortly after birth. (nih.gov)
  • The diagnosis of congenital stromal corneal dystrophy is established in an individual with bilateral corneal opacities and characteristic findings on transmission electron microscopy. (nih.gov)
  • Automated Lamellar Keratectomy, a procedure to correct opacities on the corneal surface. (firmoo.com)
  • Most corneal dystrophies have no systemic manifestations and present with variably-shaped corneal opacities that affect visual acuity to different degrees. (medpagetoday.com)
  • Post traumatic or post infectious corneal opacities Corneal blindness is one of the major causes of blindness in our country. (kashyapmemorialeyehospital.com)
  • Under slit-lamp examination, early manifestations of lattice dystrophy include subtle anterior stromal opacities or small refractile linear lesions. (medscape.com)
  • It is characterized by well demarcated granular shaped opacities in central anterior stroma and as the disease progresses, extrusion of the deposits results in ocular pain due to corneal epithelial erosion. (ekjo.org)
  • Eye problems are also possible in some Labradors, particularly progressive retinal atrophy, cataracts, corneal dystrophy and retinal dysplasia. (furrycritter.com)
  • Hereditary or juvenile cataracts, corneal dystrophy and progressive retinal atrophy are the three eye situations of the Siberian Husky that you need to be aware of. (migrainestoppper.com)
  • Hearing aids Cochlear implant Contact lenses Corneal transplant A diagnosis can be made by general symptom examination and with both ophthalmologic and audiometric studies. (wikipedia.org)
  • in a corneal transplant technique known as deep anterior lamellar keratoplasty (DALK) the donated corneal tissue replaces the corneal stroma and epithelium only. (msdmanuals.com)
  • The surgery is more technically difficult, and the procedure takes more time to perform than a full-thickness corneal transplant. (msdmanuals.com)
  • Research Objective The proposed studies will determine the optimal approaches to differentiate and transplant stem cell-derived corneal endothelial cells. (ca.gov)
  • Area of Impact The candidate aims to restoring vision by reducing the need for corneal transplant and the associated blinding complications. (ca.gov)
  • Nearly one in five people with keratoconus will require a corneal transplant at some point. (lasereyecenter.com)
  • The only way to reduce blindness is by doing corneal transplant. (kashyapmemorialeyehospital.com)
  • With the development of new surgical techniques, instrumentation and pharmacological advances, corneal transplant procedures can undergo changes directly in the clinical profile of patients with the indication for penetrating keratoplasty technique. (bvsalud.org)
  • DMEK is a form of corneal transplant surgery used to help patients who have poor vision due to corneal swelling. (milwaukeeeyecare.com)
  • DMEK has several advantages over a full-thickness corneal transplant. (milwaukeeeyecare.com)
  • Patients have a faster visual recovery time, less post-operative astigmatism, a decreased chance for rejection, and less risk for damage after eye trauma due to a much smaller incision size than with full-thickness corneal transplant surgery. (milwaukeeeyecare.com)
  • DMEK is a wonderful way to give patients who have corneal swelling a chance to see better in a shorter period of time than after a traditional, full-thickness corneal transplant. (milwaukeeeyecare.com)
  • In December 2022, Karie received the gift of a corneal transplant. (saving-sight.org)
  • Macular corneal dystrophy is a progressive, bilateral disorder with increasing corneal cloudiness throughout life. (arizona.edu)
  • The term corneal dystrophy encompasses a heterogenous group of hereditary, bilateral, non-inflammatory, progressive disorders with the prognosis varying from minimal effect on vision to corneal blindness. (medpagetoday.com)
  • Corneal disease that results in corneal scarring is a common cause of monocular and bilateral blindness in children and young adults. (optometrists.org)
  • Corneal dystrophies are rare hereditary corneal diseases that are usually bilateral, symmetric, slowly progressing, and are unrelated to systemic factors [ 1 ]. (ekjo.org)
  • Only the corneal endothelium needs to be transplanted in diseases where the corneal stroma is clear, has a smooth stromal surface with a regular curvature, and only the corneal endothelium is not functioning well (eg, Fuchs dystrophy, bullous keratopathy resulting from cataract surgery). (msdmanuals.com)
  • Here, the Laser Eye Center ™ team identifies several eye diseases that are known to be hereditary. (lasereyecenter.com)
  • Our physicians are known nationally for their clinical and research expertise and their ability to help patients with various complex corneal diseases. (uillinois.edu)
  • and hereditary corneal diseases, like Fuchs' Dystrophy. (uillinois.edu)
  • Diseases surgical technique developed since the start of the involving the corneal endothelium can be controlled twentieth century for the realization of corneal with endothelial or penetrating keratoplasties, and transplantation (CT). (bvsalud.org)
  • CT is the most common type those diseases that involve both the endothelium and of tissue transplantation made around the world, the corneal stroma generally require PK when there is substitution of all corneal layers (the (REINHART, 2011). (bvsalud.org)
  • Some corneal diseases can be very painful. (hattiesburgeyeclinic.com)
  • Using a slit lamp and advanced diagnostic technology such as corneal topography, your doctor can detect early cataracts, corneal scars, and other problems associated with the front structures of the eye. (hattiesburgeyeclinic.com)
  • Again, a good breeder will work diligently to ensure these issues are not passed on, and many breeders have done testing to ensure the gene for hereditary juvenile​ cataracts are not in their breeding stock. (bromleyrockbostons.ca)
  • A person with Fuchs' endothelial dystrophy or bullous keratopathy may first notice glare with lights at night or in bright sunlight. (hattiesburgeyeclinic.com)
  • This is another autosomal dominant corneal dystrophy resulting from mutations in the TGFBI gene (5q31) (others being Reis-Bucklers , Thiel-Behnke , lattice types I and IIIA, epithelial basement membrane disease , and Avellino ). (arizona.edu)
  • Homozygous mutations in the CHST6 gene (16q22) are responsible for this autosomal recessive corneal dystrophy. (arizona.edu)
  • Meesmann corneal dystrophy can result from mutations in either the KRT12 gene or the KRT3 gene. (medlineplus.gov)
  • Mutations in either the KRT12 or KRT3 gene weaken this framework, causing the corneal epithelium to become fragile and to develop the cysts that characterize the disorder. (medlineplus.gov)
  • Molecular genetics of Meesmann's corneal dystrophy: ancestral and novel mutations in keratin 12 (K12) and complete sequence of the human KRT12 gene. (medlineplus.gov)
  • Mutations in the UBIAD1 gene, encoding a potential prenyltransferase, are causal for Schnyder crystalline corneal dystrophy. (medscape.com)
  • Corneal dystrophy, Avellino type (mutations pArg555trp and pArg124His on TGFBI gene). (mendelian.co)
  • This translational research project will develop therapeutic and delivery strategies for correcting genetic mutations in the common hereditary corneal dystrophies using cutting-edge CRISPR technology. (umich.edu)
  • Clustering and frequency of mutations in the retinal guanylate cyclase (GUCY2D) gene in patients with dominant cone-rod dystrophies. (ox.ac.uk)
  • The histologic appearance of the corneal deposits are said to be characteristic with eosinophilic deposits in the anterior stroma secondary to accumulations of mutant transforming growth factor beta induced protein. (arizona.edu)
  • Corneal thickness is reduced, presumably due to abnormally dense packing of collagen fibrils in the stroma. (arizona.edu)
  • Clinically, the corneal dystrophies can be divided into several different groups based on the predominant anatomic location of the abnormalities, i.e. the epithelium and its basement membrane (Bowman's layer), the corneal stroma or Descemet's membrane and the corneal endothelium. (medpagetoday.com)
  • Lattice corneal dystrophy is a rare inherited condition characterized by amyloid deposition in the corneal stroma. (medscape.com)
  • Vision compromise generally occurs much later as the density of amyloid deposits in the corneal stroma increases. (medscape.com)
  • Later in the course of disease, lattice lines extend to the corneal periphery and progress to deep stroma. (medscape.com)
  • Prevalence of stromal corneal dystrophies in Lahore. (nih.gov)
  • To determine the prevalence of Stromal Corneal Dystrophies (SCDs) in patient from Lahore hospitals. (nih.gov)
  • IC3D classification of corneal dystrophies--edition 2. (medscape.com)
  • The International Committee for Classification of Corneal Dystrophies places it in IC3D category 2: "A well-defined corneal dystrophy that has been mapped to one or more specific chromosomal loci, but the gene(s) remains to be identified. (eyewiki.org)
  • In corneal endothelium transplantation, there are 2 techniques: Descemet stripping endothelial keratoplasty (DSEK) and the newest technique, Descemet membrane endothelial keratoplasty (DMEK). (msdmanuals.com)
  • The central corneal endothelium is removed, and the use of topical rho kinase inhibitors speeds the migration of peripheral corneal endothelium cells to fill the defect. (msdmanuals.com)
  • DMEK uses a thinner graft than DSEK and has superior results (eg, faster healing, fewer rejections, and better visual acuity) compared to both DSEK and full-thickness corneal transplantation. (msdmanuals.com)
  • Treatment of lattice corneal dystrophy includes management of recurrent corneal erosion syndrome and rehabilitation of lost visual acuity. (medscape.com)
  • When compromised visual acuity occurs, treatment options include laser surface ablation and partial or full-thickness corneal transplantation. (medscape.com)
  • Also, diffuse corneal haze which appears late, causes decrease in visual acuity. (ekjo.org)
  • In patients who have undergone corneal laser vision-correction surgeries such as photorefractive keratectomy, LASEK, or LASIK including SMILE surgery, corneal opacity exacerbates rapidly with severe deterioration of visual acuity. (ekjo.org)
  • Note: This finding may help distinguish CSCD from other disorders that have normal corneal thickness. (nih.gov)
  • Asper Ophthalmics is a comprehensive collection of genetic tests targeted at the diagnostics of a wide variety of hereditary ocular disorders, including retinal disorders , corneal dystrophies , and age related ophthalmic conditions . (asperbio.com)
  • Cheng J, Qi X, Zhao J, Zhai H, Xie L. Comparison of Penetrating Keratoplasty and Deep Lamellar Keratoplasty for Macular Corneal Dystrophy and Risk Factors of Recurrence . (arizona.edu)
  • The service has extensive expertise in all forms of partial thickness corneal transplantation, including DMEK, DSAEK/ DSEK, and DALK, in addition to traditional penetrating keratoplasty. (uillinois.edu)
  • These genes provide instructions for making proteins called keratin 12 and keratin 3, which are found in the corneal epithelium. (medlineplus.gov)
  • Affected individuals may first develop recurrent corneal erosion syndrome, which is a recurring painful breakdown of the corneal epithelium. (medscape.com)
  • It has not been a good year for the 46-year-old radio and television talk show host who underwent an appendectomy last November and learned in July that he has an inherited eye disease, macular corneal dystrophy . (medpagetoday.com)
  • Area of Impact The candidate is for treatment of congenital hereditary endothelial dystrophy, an orphan disease associated with congenital corneal opacification. (ca.gov)
  • What is corneal disease? (optometrists.org)
  • Corneal disease or infection can lead to scarring or discoloration- affecting the cornea's normal function, and causing vision loss and even blindness. (optometrists.org)
  • What are the symptoms of corneal disease? (optometrists.org)
  • Cone-rod dystrophy is a disease that causes light-sensitive cells of the retina to deteriorate over time. (lasereyecenter.com)
  • In addition, UI Health is the only Chicago-area provider to offer BostonSight PROSE treatment for patients with severely compromised ocular function as a result of complex corneal disease. (uillinois.edu)
  • What is hereditary eye disease? (bva.co.uk)
  • There are many types of hereditary eye disease, both congenital (conditions that exist from birth or soon after birth) and non-congenital (conditions that develop later in life), that affect dogs. (bva.co.uk)
  • Download our leaflet on hereditary eye disease in dogs for more information on the conditions and the scheme. (bva.co.uk)
  • Your eye doctor can check for corneal disease and trauma by examining your eyes with magnifying instruments. (hattiesburgeyeclinic.com)
  • What Are My Treatment Options For Corneal Disease? (hattiesburgeyeclinic.com)
  • As with any serious eye infection, corneal disease should be treated immediately. (hattiesburgeyeclinic.com)
  • A hereditary disease that is due to deficiency of an enzyme involved in amino acid metabolism, characterized by urine that smells like maple syrup. (definithing.com)
  • Lattice corneal dystrophy (LCD), an IC3D category 1 dystrophy, is an autosomal-dominant condition and one of the most common stromal dystrophies. (medscape.com)
  • Then, in 2008, IC3D recommended expressing this corneal dystrophy as GCD2 [ 3 ]. (ekjo.org)
  • Genetic and metabolic testing to investigate more common causes of corneal dystrophy may be useful in diagnosis. (eyewiki.org)
  • Infection: Bacterial, fungal and viral infections are common causes of corneal damage. (hattiesburgeyeclinic.com)
  • Corneal transplantation has undergone enormous improvements in surgical techniques and eye banking during the past 50 years, making it one of the most successful forms of organ replacement. (medscape.com)
  • Cite this: Corneal Transplantation - Medscape - Apr 01, 2011. (medscape.com)
  • Corneal transplantation can be done using general anesthesia or local anesthesia plus IV sedation. (msdmanuals.com)
  • Gene-editing therapy promises a permanent cure for ocular defects and blindness by tackling the genetic root cause of hereditary eye conditions. (umich.edu)
  • She was left with scarring from the shingles on her eye that impacted her vision and resulted in corneal blindness. (saving-sight.org)
  • Corneal dystrophy, TGFBI gene mutation analysis. (mendelian.co)
  • The genetic defect of lattice corneal dystrophy type I has been mapped to the TGFBI ( BIGH3 ) gene on chromosome 5q. (medscape.com)
  • Like granular and Avellino dystrophies, the genetic defect of lattice corneal dystrophy type I has been mapped to the TGFBI ( BIGH3 ) gene on chromosome 5q. (medscape.com)
  • Granular corneal dystrophy type 2 (GCD2) is an autosomal dominant corneal stromal dystrophy that is caused by p.Arg124His mutation of transforming growth factor β induced ( TGFBI ) gene. (ekjo.org)
  • Corneal dystrophies are currently divided into epithelial and subepithelial dystrophies, epithelial-stromal transforming growth factor β induced ( TGFBI) dystrophies, stromal dystrophies, and endothelial dystrophies. (ekjo.org)
  • As a pedigree of the dystrophy was established with a family originated from Avellino district of Italy, it was named Avellino corneal dystrophy at first [ 5 ]. (ekjo.org)
  • Corneal dystrophies are caused by different underlying genes that display different modes of transmission including autosomal dominant, autosomal recessive and X-linked recessive inheritance. (medpagetoday.com)
  • Hereditary amyloidosis (NGS panel of 19 genes). (mendelian.co)
  • The number and morphology of the granular deposits change throughout life, influenced to some extent by episodes of recurrent corneal erosions and age of patients. (arizona.edu)
  • Cdl3a Is also known as lattice corneal dystrophy, type iiia. (mendelian.co)
  • There are two genetically distinct types of lattice corneal dystrophy: lattice corneal dystrophy type I (classic type), which is a primary amyloidosis localized to the corneas only, and lattice corneal dystrophy type II (gelsolin type, or Meretoja syndrome), which has systemic amyloidosis manifestations. (medscape.com)
  • The onset of corneal changes generally occurs in the first decade of life in lattice corneal dystrophy type I and in the fourth or fifth decade of life in lattice corneal dystrophy type II. (medscape.com)
  • Lattice corneal dystrophy is inherited in an autosomal-dominant fashion. (medscape.com)
  • There are two genetically distinct types: lattice corneal dystrophy type I (classic type), which is isolated to the eye, and the less common lattice corneal dystrophy type II (gelsolin type), which has systemic amyloidosis manifestations. (medscape.com)
  • [ 1 ] Although lattice corneal dystrophy type II is regarded as a type of familial amyloidosis and not a true corneal dystrophy, it can be easily misdiagnosed as lattice corneal dystrophy type I. (medscape.com)
  • Onset of corneal changes in lattice corneal dystrophy type I usually occurs in the first decade of life, although patients may remain asymptomatic for years. (medscape.com)
  • An example of lattice corneal dystrophy is shown in the image below. (medscape.com)
  • Based on immunohistochemical profiles of inclusions, as well as phenotypic differences, attempts have been made to distinguish at least three types of macular dystrophy, I, IA, and II. (arizona.edu)
  • Central macular dystrophy is transmitted as an autosomal recessive defect. (bvsalud.org)
  • In these people, any type of eye surgery, even perfectly performed cataract surgery, can result in corneal swelling that may eventually require DMEK. (milwaukeeeyecare.com)
  • Ehlers N, Hjortdal J, Nielsen K, Thiel HJ, Orntoft T. Phenotypic variability in Meesmann's dystrophy: clinical review of the literature and presentation of a family genetically identical to the original family. (medlineplus.gov)
  • A clinical pathologic report with quantitative analysis of corneal lipid composition. (medscape.com)
  • It's also called Map-Dot-Fingerprint Dystrophy (a name based on how it looks microscopically), and Epithelial Basement Membrane Dystrophy. (firmoo.com)
  • One of the more common conditions that is treated with DMEK is Fuch's Corneal Dystrophy . (milwaukeeeyecare.com)
  • The number of DMEK procedures performed has been increasing in frequency, and in most situations, it has replaced full-thickness corneal transplants as the preferred surgery for people with corneal swelling. (milwaukeeeyecare.com)
  • This is thought to be a hereditary condition that results in a progressive decrease in number and function of the endothelial cells. (milwaukeeeyecare.com)
  • CHS offers litter screening for congenital hereditary conditions such as collie eye anomaly and multifocal retinal dysplasia, when the puppies are 5 to 12 weeks old. (bva.co.uk)
  • Meesmann corneal dystrophy is a rare disorder whose prevalence is unknown. (medlineplus.gov)
  • Corneal dystrophy-perceptive deafness syndrome, also known as Harboyan syndrome, is a rare genetic disorder characterized by congenital hereditary corneal dystrophy that occurs alongside progressive hearing loss of post-lingual onset. (wikipedia.org)
  • Hereditary myopathy, a rare inherited disorder that causes a deficiency in type II muscle fibre. (furrycritter.com)
  • Development of congenital stromal corneal dystrophy is dependent on export and extracellular deposition of truncated decorin. (nih.gov)
  • Deposition of cholesterol crystals in patients with Schnyder corneal dystrophy (see the image below) resembles deposition of cholesterol crystals in human atherosclerotic lesions. (medscape.com)
  • Differential diagnosis of Schnyder corneal dystrophy. (medscape.com)
  • The diagnosis of congenital stromal corneal dystrophy (CSCD) is established in an individual with the above Suggestive Findings . (nih.gov)

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