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Cataracts 34

OMIM ID:

autosomal recessive

Cataracts 34

Alternate Names

CTRCT34
cataract 34 multiple types with or without microcornea

Defective Genes

FOXE3

Clinical Characteristics

Ocular Features

Two families with mutations in the FOXE3 associated with cataracts have been reported.  The lens opacities may be present at birth or found soon thereafter.  In 1 family with 5 affected sibs membranous cataracts were present along with corneal opacities, microcornea and nystagmus.  In another family, 7 sibs had posterior subcapsular cataracts but no other ocular findings.

Systemic Features

No systemic abnormalities were associated with the ocular findings.

Genetics

Inheritance

Homozygous mutations in the FOXE3 (1p33) gene segregated with the eye findings in the two families.  FOXE3 is a transcription gene and its mutations are responsible for a variety of ocular abnormalities.

Pedigree

Autosomal recessive

In order for autosomal recessive disorders to be expressed, offspring generally must inherit two mutations, one from each carrier parent.  Carriers with only one mutation, such as the parents, do not have clinical disease.  Note that carrier parents can expect that 1 in 4 children (25%) will inherit both mutations and have the disorder, 2 in 4 children (50%) will be carriers like their parents, while 1 in 4 children (25%) inherit neither mutation.

Image
Sample pedigree of autosomal recessive inheritance

In order for autosomal recessive disorders to be expressed, offspring generally must inherit two mutations, one from each carrier parent. Carriers with only one mutation, such as the parents, do not have clinical disease. Note that carrier parents can expect that 1 in 4 children (25%) will inherit both mutations and have the disorder, 2 in 4 children (50%) will be carriers like their parents, while 1 in 4 children (25%) inherit neither mutation.

Treatment & Management

Surgical cataract removal may be indicated.  Amblyopia is a risk and requires rehabilitation.

Publications

Displaying 1 - 2 of 2

FOXE3 contributes to Peters anomaly through transcriptional regulation of an autophagy-associated protein termed DNAJB1

PubMedID: 27218149

Localization of autosomal recessive congenital cataracts in consanguineous Pakistani families to a new locus on chromosome 1p

PubMedID: 17893665