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2.1
Polymorphous Corneal Dystrophy
PPCD1

Presentation

(Ser638Cysfs*5)) present in the heterozygous state, which was also identified in the proband's affected mother. [ncbi.nlm.nih.gov]

A case is presented on a 47 years old woman with no relevant history, with typical findings of DPP (vesicular and band lesions at the endothelium and posterior Descemet). [research.tec.mx]

Entire Body System

  • Inguinal Hernia

    Both probands had a history of surgery for inguinal hernia; the male patient also reported hydrocele. Nucleotide changes within the coding region of ZEB1 underlie the pathogenesis of PPCD in 4 of 23 Czech probands (17%). [ncbi.nlm.nih.gov]

    Family reports of inguinal hernia, hydrocele, and possible bone anomalies in affected individuals suggest that individuals with TCF8 mutations should be examined for nonocular anomalies. [uniprot.org]

    Only one inguinal hernia was present in our cohort, and did not occur in conjunction with ZEB1 disease. [molvis.org]

  • Fishing

    In all the CK19-positive cells, both X and Y chromosomes were simultaneously detected using FISH. [ncbi.nlm.nih.gov]

Treatment

Descemet's stripping automated endothelial keratoplasty (DSAEK) has recently become the preferred treatment for corneal endothelial dystrophies in adults. [ncbi.nlm.nih.gov]

Treatment Treatment Options: Few patients require treatment since the endothelial changes are frequently stable. Among those that do undergo corneal transplantation, the changes often recur in the donor button. [disorders.eyes.arizona.edu]

Until now, a full thickness penetrating graft has been the gold standard for the treatment of endothelial failure in PPCD. [1], [2] Posterior lamellar keratoplasty is a relatively new surgical technique for the treatment of endotheliopathies. [ijo.in]

The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]

Prognosis

The factor that most prominently influences keratoplasty prognosis is the presence of iridocorneal adhesions.(ABSTRACT TRUNCATED AT 400 WORDS). [ncbi.nlm.nih.gov]

Based on the observations made in this case series, we suggest the possible visual prognosis of patients with unilateral PPCD in the aspect of amblyopia development. [karger.com]

Treatment and prognosis Most patients with PPMD are asymptomatic and are diagnosed on routine eye exam. These patients usually have a great prognosis and often do not require any treatment. [webeye.ophth.uiowa.edu]

Patients who have macular dystrophy have a poor prognosis, but are unlikely to pass this dystrophy on because it is autosomal recessive. [clspectrum.com]

Etiology

The pathological coexistence of PPCD and high myopia in our case is possibly due to a shared etiological pathway or genetic background. Advanced genetic analysis on similar cases is expected if more samples can be provided. [ncbi.nlm.nih.gov]

Further investigation as genetic research should be realized on our patient to search a common etiology. [sfo-online.fr]

Etiology PPCD is a genetically heterogenous condition with extremely variable expression. Three genes have been implicated: VSX1 (20p11.21), COL8A2 (1p34.2-p32.3), and ZEB1 (10p11.22), but the evidence implicating VSX1 and COL8A2 is questionable. [orpha.net]

Keywords: Corneal dystrophy, hereditary/etiology; Retinal diseases/etiology; Lens diseases/etiology; Nephritis, hereditary/ complications; Hematuria _________________________________________ 1 University of British Columbia, Children’s Hospital – Vancouver [sboportal.org.br]

This is in contrast to other etiologies of congenital corneal clouding like Peter’s anomaly or a limbal dermoid, which can vary in size/location and often obscure underlying iris. [reviewofophthalmology.com]

Epidemiology

Summary Epidemiology Prevalence of this form of corneal dystrophy is unknown. Clinical description Lesions generally develop in early childhood and are mostly bilateral but may be asymmetrical or unilateral in some cases. [orpha.net]

Epidemiology Frequency United States The frequency of PPMD is not well documented. Although it is considered to be uncommon, PPMD may be recognized and diagnosed more often in recent years than in the past. [emedicine.medscape.com]

[…] sains Asselineau, Kirwan Iain Frederic; Derkač, Irmantė; Janulevičienė, Ingrida; Veličkienė, Džilda Konferencijų tezės nerecenzuojamuose leidiniuose / Conference theses in non-peer-reviewed publications (T2) 2018 A five-year retrospective study of the epidemiological [lsmuni.lt]

Relevant External Links for VSX1 Genetic Association Database (GAD) VSX1 Human Genome Epidemiology (HuGE) Navigator VSX1 Atlas of Genetics and Cytogenetics in Oncology and Haematology: VSX1 No data available for Genatlas for VSX1 Gene VSX1 mutational [genecards.org]

Table 1 Epidemiology No genetic basis of inheritance [3,4] Onset at 50 years or older [3] No clear sex predominance [1] Deposits do not progress [3] No consistently associated systemic or ocular disease [1] Signs Bilateral gray or white polymorphous and [eyerounds.org]

Pathophysiology

Pathophysiology Three main abnormalities are described: vesicular changes, endothelial band lesions, and irregular diffuse opacities of the posterior corneal surface involving both the Descemet membrane and the endothelium. [emedicine.medscape.com]

Pathophysiology The pathogenesis of PPMD is attributed to an abnormal developmental differentiation of the endothelial cells [7]. [webeye.ophth.uiowa.edu]

[…] membrane graft fastened to a thermoplastic symblepharon ring The device acts as a self-retaining biological bandage Promotes reepithelialization BioDOptix Amniotic Membrane Insert Dehydrated amniotic membrane graft It should be noted that the underlying pathophysiology [decisionmakerplus.net]

The pathophysiology is a result of inadequate endothelium, and treatment therefore requires replacing the endothelium. [reviewofophthalmology.com]

Prevention

This helps avoid repeated freeze-thaw cycles, as well as prevent loss of virus. To maintain accurate titer, aliquot in at least 20ul per tube. [vectorbiolabs.com]

In support of this, the United States Preventive Services Task Force (2004) recommends vision screening for children younger than 5 years [ 7 ]. [karger.com]

To prevent further erosions, hypertonic solutions during the day or hypertonic ointments at night may be necessary for up to three months. [clspectrum.com]

In the United States, approximately 4,200 persons are affected by a corneal dystrophy, according to research from Prevent Blindness, the National Institute of Special Education and the National Science Foundation. [reviewofoptometry.com]

Transplantation Substance Use and Addiction Surgery Surgical Innovation Surgical Pearls Teachable Moment Technology and Finance The Rational Clinical Examination Tobacco and e-Cigarettes Toxicology Trauma and Injury Treatment Adherence United States Preventive [jamanetwork.com]

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