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Myopia 25, Autosomal Dominant, Nonsyndromic

OMIM ID:

autosomal dominant

Myopia 25, Autosomal Dominant, Nonsyndromic

Alternate Names

MYP25

Defective Genes

P4HA2

Clinical Characteristics

Ocular Features

Myopia in the range of -6.00 to -31.01 diopters with onset before 10 years of age are the only ocular signs reported.

Systemic Features

No systemic signs have been reported.

Genetics

Inheritance

This nonsyndromic autosomal dominant condition results from heterozygous mutations in P4HA2 (5q31.1).  A three generation Chinese family has been reported.  A variety of other mutations in the same gene have been identified in sporadic cases.

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

Treatment & Management

Correction of refractive errors should be prescribed. Periodic ocular examinations are advised to detect evidence of retinal degeneration and to ensure that changes in refraction are corrected.

Selected Resources

Web Resources

Publications

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Mutations of P4HA2 encoding prolyl 4-hydroxylase 2 are associated with nonsyndromic high myopia

PubMedID: 25741866