Skip to main content

Microphthalmia, Isolated, with Cataract

Microphthalmia, Isolated, with Cataract

Patient Information

Characteristics

Background and History

Opacification of the lens in the eye resulting in loss of transparency is called a cataract. Cataracts that appear in infants or childhood are generally called congenital or developmental cataracts. All newborns should have a complete eye examination since early detection and treatment can be important to prevent lazy eye (amblyopia).  Cataracts may arise from a variety of causes including various general developmental syndromes, intrauterine infections such as rubella, chromosomal abnormalities, or inherited disorders of metabolism such as galactosemia. About one-fourth are familial and these are usually caused by single gene mutations.

In the disorder(s) described here, the eyeball is also smalland some patients have nystagmus (dancing eyes).  It is uncertain whether this is a single disorder or perhaps three or more.

 

Clinical Correlations

The most consistent findings are a small eyeball and cataracts that are present at birth.  Several patients with what may be a unique subset of this combination were considered to be mentally retarded.  Nystagmus was present in yet other families but this may be secondary to poor vision resulting from the lens opacities. 

 

Genetics

Inheritance

An autosomal dominant pattern was present in several families but in another family there were large aberrations in whole chromosomes.  Specific single gene mutations were identified in yet other families.  Generally a parent with this combination of eye findings can expect that half of his or her children will have similar eye problems.

Pedigree

Autosomal dominant

Autosomal dominant disorders require only one mutation for the disease to be expressed.  Since an affected parent has two chromosomes, only one of which has the mutant gene, parents can expect that half (50%) of their children will receive that one and inherit the disease.  It is common for individuals that inherit the mutation, however, to not have evidence of the disease (nonpenetrance).

Image
Sample pedigree of autosomal dominant inheritance

Autosomal dominant inheritance leads to a vertical pattern of transmission

Diagnosis and Prognosis

The diagnosis can only be made by an ophthalmologist.  There is insufficient data to determine the long term visual prognosis.  General health is not affected.  Cataract surgery may be beneficial but no long term data are available.

Web Resources

Web Resource Printout Display
http://www.allaboutvision.com/conditions/congenital-cataracts.htm

Printer Friendly Version: Ctrl/Cmd+P