Symptoma

Exudative Vitreoretinopathy Type 2

X-Linked FEVR

In addition, the youngest family member, a 9-year-old boy, who presented with bilateral tractional retinal detachment, and his mother, who presented with retinal pigmentary alterations and bilateral dragging of the macula and atrophy, both harboured the [ncbi.nlm.nih.gov]

CLINICAL COURSE The FEVR patient population is characterized by a spectrum of disease presentation, including range of age at presentation, gestational age, and birth weight. [entokey.com]

Methods:Findings in five affected members of a family in which the X-linked mode of inheritance of familial exudative vitreoretinopathy is present are discussed. [journals.lww.com]

  • Plethora

    Among the plethora of roles that Wnt signaling plays, its canonical branch regulates eye organogenesis and angiogenesis. [ncbi.nlm.nih.gov]

  • Severe Pain

    Cosmetic treatment would be suggested for left eye later but at present she was advised to use NSAID eye drops for any severe pain and redness of the left eye. Briefly, Ms. [afb.org]

  • Fishing

    Genetic screening was done by chromosomal microarray analysis and confirmed by fluorescent in situ hybridization (FISH). Bilateral macular folds were found with temporal fibrosis in the proband. [ncbi.nlm.nih.gov]

  • Piebaldism

    Crouzon syndrome, Jackson–Weiss syndrome ) FGFR3 ( Achondroplasia, Hypochondroplasia, Thanatophoric dysplasia, Muenke syndrome ) INSR ( Donohue syndrome Rabson–Mendenhall syndrome ) NTRK1 ( Congenital insensitivity to pain with anhidrosis ) KIT ( KIT Piebaldism [ipfs.io]

  • Anhidrosis

    […] syndrome, Pfeiffer syndrome, Crouzon syndrome, Jackson–Weiss syndrome ) FGFR3 ( Achondroplasia, Hypochondroplasia, Thanatophoric dysplasia, Muenke syndrome ) INSR ( Donohue syndrome Rabson–Mendenhall syndrome ) NTRK1 ( Congenital insensitivity to pain with anhidrosis [ipfs.io]

  • Confusion

    This condition is sometimes confused with retrolental fibroplasia, and FEV is probably a more frequently occurring disease than previously thought, because of confusion with RLF. [ncbi.nlm.nih.gov]

    The clinical picture is sometimes confused with retinopathy of prematurity. Systemic Features: No consistent systemic abnormalities have been identified in EVR2. [disorders.eyes.arizona.edu]

    Pros: Big cash prizes, automatic reporting Cons: Noobish user base, inconsistent website makes it hard to find a match sometimes Virgin is the biggest player with the most marketing dollars behind their site, but their inconsistent website is buggy and confusing [afb.org]

  • Pendular Nystagmus

    In most infants, FEVR is diagnosed when they are evaluated for failure to fix and follow objects or lights, for pendular nystagmus or heterotropia, or when children and adults notice decreased vision. [institut-vision.org]

    nystagmus, and decreased bone mineral density. [iofbonehealth.org]

Evaluating TSPAN12 large deletions and duplications should be considered in FEVR screening and diagnosis as well as in routine genetic workups for FEVR patients. [ncbi.nlm.nih.gov]

These patients are often family members of a patient with advanced disease, who are identified during the screening workup for suspected FEVR. [reviewofophthalmology.com]

— Widefield angiography is essential in diagnosing familial exudative vitreoretinopathy, but treatment type and efficacy depend on the stage of the disease, according to a speaker here. [healio.com]

Identification of novel disease-causing alleles allows for a deeper understanding of the disease, better molecular diagnosis, and improved treatment. [ncbi.nlm.nih.gov]

It is in no way intended as a substitute for qualified medical professional help, advice, diagnosis or treatment. [institut-vision.org]

Treatment Treatment Options: Retinal, vitreal, and cataract surgery are indicated in appropriate cases. [disorders.eyes.arizona.edu]

Diagnosis and Prognosis: The diagnosis can only be made by an ophthalmologist by direct examination of the eye. The prognosis is unpredictable for some patients have minimal or no symptoms while other eyes become blind. [disorders.eyes.arizona.edu]

FEVR eyes that present in the first year of life have a much worse prognosis. Benson ( 3 ) noted that children who presented in the first 3 years of life had a worse prognosis. [entokey.com]

The prognosis for infants with FEVR is extremely poor and the long-term prognosis for patients with a later onset of the condition is guarded. [ncbi.nlm.nih.gov]

Management, follow-up & prognosis Management The main objective is the early diagnostic and treatment of the disease. [institut-vision.org]

Prognosis The clinical presentation of FEVR is highly variable. The usual course of the disease has not been well established making the prognosis difficult to ascertain. Progressive loss of vision is reported in severe cases. [orpha.net]

Etiology Mutations in the FZD4 (11q14-q21) or LRP5 (11q13.4) genes have been associated with autosomal dominant FEVR as well as ZNF408 (11p11.2). LRP5 has also been associated with recessive cases. [orpha.net]

Etiology and pathogenesis FEVR primary pathology is a premature arrest of retinal vasculogenesis, leading to incomplete vascularisation of the peripheral retina. The secondary complications are mainly due to retinal ischemia. [institut-vision.org]

These characteristics help to clearly identify ROP as a causative etiology. The classic finding in FEVR is peripheral retinal capillary nonperfusion. [reviewofophthalmology.com]

The etiology of pathogenesis of advanced ROP is currently unknown. [doi.org]

Epidemiology, onset & clinical features Epidemiology The disease is often described as rare or very rare, through the exact prevalence remains unknown. [institut-vision.org]

Summary Epidemiology The prevalence of FEVR is unknown. It is usually inherited dominantly and many asymptomatic individuals may not come to medical attention as a result of non-penetrance. [orpha.net]

A population-based study of Coats disease in the United Kingdom I: epidemiology and clinical features at diagnosis. Eye (Lond) 2010; 24: 1797-1801 3 Gomez Morales A. Coatsʼ disease. Natural history and results of treatment. [thieme-connect.com]

Six genes so far have been implicated in FEVR: FZD4[6][7], NDP[8][9], LRP5[7][10], TSPAN12[11][12][13], KIF11[14][15] and ZN408. [16] Epidemiology FEVR is described as a rare inherited disorder. The prevalence has not been reported yet. [eyewiki.aao.org]

The pathophysiologic mechanism, natural history, and optimal treatment of this disease are matters of debate. With active surgical management, three of the four eyes which presented to us for treatment have visual acuity of 20/30 or better. [ncbi.nlm.nih.gov]

Advances in the diagnosis, management and pathophysiology of capillary nonperfusion. Expert Rev Ophthalmol. 2012;7(3):281-292. Kashani AH, et al. [eyewiki.org]

These factors have been shown to be the regulators of the pathophysiological pathways of retinal vascular development. [e-tjo.org]

Genetic Pathophysiology Scientists have now linked 6 distinct genes that can lead to FEVR including FZD4[6][7], NDP[8][9], LRP5[7][10], TSPAN12[11][12][13], KIF11[14][15] and ZN408. [16]. [eyewiki.aao.org]

[…] retinal vascular disease characterized by the prevention of blood vessel formation at the edges of the retina and the hemorrhage of the blood vessels in the retina FEVR familial exudative vitreoretinopathy Criswick-Schepens syndrome edit Language Label [wikidata.org]

“Prompt treatment when you have capillary dropouts with laser to prevent the progression [is necessary]. The future will be detecting the capillary dropouts ahead of time and trying to use drugs to prevent the later exudation.” Ehab N. [healio.com]

Prevention of the primary manifestations of the disease is not possible at present, but prevention and treatment of manifestations mostly related to the neovascularization process may be achieved by prophylactic cryotherapy or argon laser. [institut-vision.org]

I also emphasize the laser photocoagulation to prevent RRD of contralateral eyes with thorough examination of peripheral fundus and the development of PVD. Contact Details: Email: [email protected] Cell Phone: 821074711824 [evrs.eu]

Alteration prevents the formation of blood vessels in the retina margins, reducing blood supply to the tissue. Signs and symptoms of familial exudative vitreoretinopathy vary widely, even within the same family. [ivami.com]