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Congenital Fibrosis of Extraocular Muscles Type 3A
Fibrosis of Extraocular Muscles 3A with or without Extraocular Involvement

Presentation

Patients classically present with a chin up head position to compensate for poor ocular elevation and ptosis, although presentations may vary. [eyewiki.aao.org]

She presented with congenital ptosis and restricted eye movements. At the age of 2 years she had bilateral ptosis repair. [cags.org.ae]

He has been the Editor in Chief, JAMA Neurology (1997- present) and a member of the Editorial Board of JAMA (1997-present). [books.google.com]

Congenital fibrosis of extraocular muscles type 3 presents as a non-progressive, autosomal dominant disorder with variable expression. [uniprot.org]

Entire Body System

  • Broad Thumb

    thumbs syndrome Infantile spasms-psychomotor retardation-progressive brain atrophy-basal ganglia disease syndrome Infantile-onset X-linked spinal muscular atrophy Infantile-onset ascending hereditary spastic paralysis Infantile-onset autosomal recessive [se-atlas.de]

Treatment

Management General treatment Non-surgical management includes close monitoring of refractive error and treatment of amblyopia. [eyewiki.aao.org]

CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]

N Engl J Med 354:462–471 PubMed CrossRef Google Scholar Benatar M, Kaminski H (2006) Medical and surgical treatment for ocular myasthenia. [link.springer.com]

Botulism: the challenge of diagnosis and treatment. Rev Neurol Dis. 2006;3:182-189. Chalk C, Benstead TJ, Keezer M. Medical treatment for botulism. Cochrane Database Syst Rev. 2011;(3):CD008123. Dembek ZF, Smith LA, Rusnak JM. [tankonyvtar.hu]

It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]

Prognosis

However, identifying the specific form of CFEOM through genetic testing may be important for counseling and prognosis. [eyewiki.aao.org]

BMJ 345:8497 CrossRef Google Scholar Spillane J, Hirsch NP, Kullmann DM, Taylor C, Howard RS (2014) Myasthenia gravis ‐ treatment of acute severe exacerbations in the intensive care unit results in a favourable long‐term prognosis. [link.springer.com]

Evaluation Strategy to Identify the Genetic Cause of CFEOM in a Proband (When Possible) Establishing a specific genetic cause of CFEOM: Can aid in discussions of prognosis (which are beyond the scope of this GeneReview) and genetic counseling; Usually [ncbi.nlm.nih.gov]

Etiology

] Marcus Gunn jaw-winking phenomenon and other forms of aberrant innervation[2] High refractive error, especially astigmatism[3] Non-ocular findings may include include: Central nervous system abnormalities (in CFEOM3) Limb abnormalities (in CFEOM4) Etiology [eyewiki.aao.org]

High-resolution magnetic resonance imaging of the extraocular muscles and nerves demonstrates various etiologies of third nerve palsy. Am J Ophthalmol 2007;143:280–287. 15. Sato M. [ekjo.org]

[…] malformation syndrome Spondylocostal dysostosis-hypospadias-intellectual disability syndrome Spondyloepiphyseal dysplasia tarda, Kohn type Spondyloepiphyseal dysplasia, Nishimura type Sporadic Creutzfeldt-Jakob disease Sporadic adult-onset ataxia of unknown etiology [se-atlas.de]

Pathophysiology

Pathophysiology The Myogenic Theory: supported by earlier studies, this theory postulated that CFEOM is due to a primary myopathy with fibrosis of the extraocular muscles. [eyewiki.aao.org]

Semin Neurol 24:155–163 PubMed CrossRef Google Scholar Dalakas MC (2013) Pathophysiology of autoimmune polyneuropathies. [link.springer.com]

The precise identification of the CFEOM3 genes should help to elucidate the pathophysiology of this disorder and clarify the basis of clinical heterogeneity observed in CFEOM. [jmg.bmj.com]

Prevention

More on Finger camptodactyly » Wrist flexion contracture : Summary : A chronic loss of wrist joint motion due to structural changes in muscle, tendons, ligaments, or skin that prevent normal movement of the joints of the wrist. 3, 4 ... ... [familydiagnosis.com]

Congenital fibrosis of the extraocular muscles prevents the normal development and function of these muscles. As a result, affected individuals are unable to move their eyes normally. [ghr.nlm.nih.gov]

This DNA vaccine has the potential to be a safe and effective therapy to prevent Alzheimer disease. He described Machado-Joseph disease (MJD), an autosomal dominant ataxia, with William Nyhan, M.D. Ph.D, in 1976, for the first time. [books.google.com]

[…] found to be helpful, especially in cases with absence counteracting forces by the antagonist muscle.[5] Ptosis surgery: If ptosis surgery is necessary, a frontalis sling may be required due to levator palpebrae hypoplasia. [5] Caution must be taken to prevent [eyewiki.aao.org]

Surveillance is important for prevention of amblyopia, and to treat amblyopia and complications of corneal exposure [Yazdani & Traboulsi 2004]. [ncbi.nlm.nih.gov]

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