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Anterior lenticonus

MedGen UID:
473077
Concept ID:
C0344262
Congenital Abnormality
SNOMED CT: Anterior lenticonus (95480008)
 
HPO: HP:0011501

Definition

A conical projection of the anterior surface of the lens, occurring as a developmental anomaly. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAnterior lenticonus

Conditions with this feature

Cataract 24
MedGen UID:
371364
Concept ID:
C1832609
Disease or Syndrome
Anterior polar cataracts are small opacities on the anterior surface of the lens. They usually do not interfere with vision (Moross et al., 1984). The preferred title/symbol of this entry was formerly 'Cataract, Anterior Polar, 2; CTAA2.'
X-linked diffuse leiomyomatosis-Alport syndrome
MedGen UID:
333429
Concept ID:
C1839884
Disease or Syndrome
A rare renal disease characterized by the association of X-linked Alport syndrome (glomerular nephropathy, sensorineural deafness and ocular anomalies) and benign proliferation of visceral smooth muscle cells along the gastrointestinal, respiratory, and female genital tracts and clinically manifests with dysphagia, dyspnea, cough, stridor, postprandial vomiting, retrosternal or epigastric pain, recurrent pneumonia, and clitoral hypertrophy in females.
Autosomal recessive Alport syndrome
MedGen UID:
1648334
Concept ID:
C4746745
Disease or Syndrome
In Alport syndrome (AS) a spectrum of phenotypes ranging from progressive renal disease with extrarenal abnormalities to isolated hematuria with a non-progressive or very slowly progressive course is observed. Approximately two thirds of AS is X-linked (XLAS); approximately 15% is autosomal recessive (ARAS), and approximately 20% is autosomal dominant (ADAS). In the absence of treatment, renal disease progresses from microscopic hematuria (microhematuria) to proteinuria, progressive renal insufficiency, and end-stage renal disease (ESRD) in all males with XLAS, and in all males and females with ARAS. Progressive sensorineural hearing loss (SNHL) is usually present by late childhood or early adolescence. Ocular findings include anterior lenticonus (which is virtually pathognomonic), maculopathy (whitish or yellowish flecks or granulations in the perimacular region), corneal endothelial vesicles (posterior polymorphous dystrophy), and recurrent corneal erosion. In individuals with ADAS, ESRD is frequently delayed until later adulthood, SNHL is relatively late in onset, and ocular involvement is rare.
X-linked Alport syndrome
MedGen UID:
1648433
Concept ID:
C4746986
Disease or Syndrome
In Alport syndrome (AS) a spectrum of phenotypes ranging from progressive renal disease with extrarenal abnormalities to isolated hematuria with a non-progressive or very slowly progressive course is observed. Approximately two thirds of AS is X-linked (XLAS); approximately 15% is autosomal recessive (ARAS), and approximately 20% is autosomal dominant (ADAS). In the absence of treatment, renal disease progresses from microscopic hematuria (microhematuria) to proteinuria, progressive renal insufficiency, and end-stage renal disease (ESRD) in all males with XLAS, and in all males and females with ARAS. Progressive sensorineural hearing loss (SNHL) is usually present by late childhood or early adolescence. Ocular findings include anterior lenticonus (which is virtually pathognomonic), maculopathy (whitish or yellowish flecks or granulations in the perimacular region), corneal endothelial vesicles (posterior polymorphous dystrophy), and recurrent corneal erosion. In individuals with ADAS, ESRD is frequently delayed until later adulthood, SNHL is relatively late in onset, and ocular involvement is rare.

Recent clinical studies

Etiology

Trancoso FG, Gallon L, Bomfim MLA, Silva AFMD, Cade F, Zanetti FR
Arq Bras Oftalmol 2020 Nov-Dec;83(6):473-477. doi: 10.5935/0004-2749.20200088. PMID: 33470273
Gross O, Kashtan CE, Rheault MN, Flinter F, Savige J, Miner JH, Torra R, Ars E, Deltas C, Savva I, Perin L, Renieri A, Ariani F, Mari F, Baigent C, Judge P, Knebelman B, Heidet L, Lagas S, Blatt D, Ding J, Zhang Y, Gale DP, Prunotto M, Xue Y, Schachter AD, Morton LCG, Blem J, Huang M, Liu S, Vallee S, Renault D, Schifter J, Skelding J, Gear S, Friede T, Turner AN, Lennon R
Nephrol Dial Transplant 2017 Jun 1;32(6):916-924. doi: 10.1093/ndt/gfw095. PMID: 27190345Free PMC Article
Savige J, Sheth S, Leys A, Nicholson A, Mack HG, Colville D
Clin J Am Soc Nephrol 2015 Apr 7;10(4):703-9. Epub 2015 Feb 3 doi: 10.2215/CJN.10581014. PMID: 25649157Free PMC Article
Bayar SA, Pinarci EY, Karabay G, Akman A, Oto S, Yilmaz G
Eur J Ophthalmol 2014 May-Jun;24(3):345-51. Epub 2013 Oct 16 doi: 10.5301/ejo.5000365. PMID: 24170525
Kim KS, Kim MS, Kim JM, Choi CY
Ophthalmic Surg Lasers Imaging 2010 May-Jun;41(3):330-6. doi: 10.3928/15428877-20100430-06. PMID: 20507017

Diagnosis

Srinivasan K, Sakthivel S
J Fr Ophtalmol 2024 Apr;47(4):104120. Epub 2024 Mar 5 doi: 10.1016/j.jfo.2024.104120. PMID: 38447292
Shekhar M, R S, Menon P R
Can J Ophthalmol 2021 Jun;56(3):213. Epub 2020 Oct 17 doi: 10.1016/j.jcjo.2020.09.012. PMID: 33080174
Tiwari US, Aishwarya A, Kujur R
Rom J Ophthalmol 2018 Jul-Sep;62(3):228-230. PMID: 30505993Free PMC Article
Savige J, Sheth S, Leys A, Nicholson A, Mack HG, Colville D
Clin J Am Soc Nephrol 2015 Apr 7;10(4):703-9. Epub 2015 Feb 3 doi: 10.2215/CJN.10581014. PMID: 25649157Free PMC Article
Miner JH, Baigent C, Flinter F, Gross O, Judge P, Kashtan CE, Lagas S, Savige J, Blatt D, Ding J, Gale DP, Midgley JP, Povey S, Prunotto M, Renault D, Skelding J, Turner AN, Gear S
Kidney Int 2014 Oct;86(4):679-84. Epub 2014 Jul 2 doi: 10.1038/ki.2014.229. PMID: 24988067Free PMC Article

Therapy

Krolo I, Kasumović A, Radman I, Pavić P
Eur J Ophthalmol 2021 Jul;31(4):1584-1587. Epub 2021 Feb 25 doi: 10.1177/1120672121997672. PMID: 33631984
Boss JD, McDermott M
Eur J Ophthalmol 2016 Apr 12;26(3):e39-41. doi: 10.5301/ejo.5000720. PMID: 26692055
Miner JH, Baigent C, Flinter F, Gross O, Judge P, Kashtan CE, Lagas S, Savige J, Blatt D, Ding J, Gale DP, Midgley JP, Povey S, Prunotto M, Renault D, Skelding J, Turner AN, Gear S
Kidney Int 2014 Oct;86(4):679-84. Epub 2014 Jul 2 doi: 10.1038/ki.2014.229. PMID: 24988067Free PMC Article
Chung PC, Lin KK, Song HS, Ku WC, Huang SC, Sun CC
Cornea 2007 Dec;26(10):1279-81. doi: 10.1097/ICO.0b013e31814da529. PMID: 18043194

Prognosis

Savige J, Sheth S, Leys A, Nicholson A, Mack HG, Colville D
Clin J Am Soc Nephrol 2015 Apr 7;10(4):703-9. Epub 2015 Feb 3 doi: 10.2215/CJN.10581014. PMID: 25649157Free PMC Article
Kim KS, Kim MS, Kim JM, Choi CY
Ophthalmic Surg Lasers Imaging 2010 May-Jun;41(3):330-6. doi: 10.3928/15428877-20100430-06. PMID: 20507017
Amaya L, Taylor D, Russell-Eggitt I, Nischal KK, Lengyel D
Surv Ophthalmol 2003 Mar-Apr;48(2):125-44. doi: 10.1016/s0039-6257(02)00462-9. PMID: 12686301
van Setten G
J Cataract Refract Surg 2001 Jul;27(7):1071-5. doi: 10.1016/s0886-3350(00)00836-1. PMID: 11489578
Jacobs M, Jeffrey B, Kriss A, Taylor D, Sa G, Barratt TM
Ophthalmology 1992 Jul;99(7):1039-44. doi: 10.1016/s0161-6420(92)31853-6. PMID: 1495781

Clinical prediction guides

Al Akeely A, Schatz P, Alhazimi A
Middle East Afr J Ophthalmol 2021 Oct-Dec;28(4):257-259. Epub 2022 Apr 30 doi: 10.4103/meajo.meajo_7_21. PMID: 35719281Free PMC Article
Trancoso FG, Gallon L, Bomfim MLA, Silva AFMD, Cade F, Zanetti FR
Arq Bras Oftalmol 2020 Nov-Dec;83(6):473-477. doi: 10.5935/0004-2749.20200088. PMID: 33470273
Ecsedy M, Súndor GL, Takúcs ÚI, Krúnitz K, Kiss Z, Kolev K, Nagy ZZ
Eur J Ophthalmol 2015 Nov-Dec;25(6):507-11. Epub 2015 Apr 9 doi: 10.5301/ejo.5000603. PMID: 25907292
Savige J, Sheth S, Leys A, Nicholson A, Mack HG, Colville D
Clin J Am Soc Nephrol 2015 Apr 7;10(4):703-9. Epub 2015 Feb 3 doi: 10.2215/CJN.10581014. PMID: 25649157Free PMC Article
Zhou W, Hirsch M, Junk AK, Casper DS, Braunstein R, David J, Worgul BV
Ophthalmologica 2003 May-Jun;217(3):189-93. doi: 10.1159/000068978. PMID: 12660481

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