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Anterior segment dysgenesis 8(ASGD8)

MedGen UID:
934589
Concept ID:
C4310622
Congenital Abnormality
Synonym: ASGD8
SNOMED CT: Autosomal recessive anterior segment dysgenesis (1197358003); Autosomal recessive dysgenesis of anterior segment of eye (1197358003)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): CPAMD8 (19p13.11)
 
Monarch Initiative: MONDO:0015017
OMIM®: 617319
Orphanet: ORPHA519388

Definition

Anterior segment dysgeneses (ASGD or ASMD) are a heterogeneous group of developmental disorders affecting the anterior segment of the eye, including the cornea, iris, lens, trabecular meshwork, and Schlemm canal. The clinical features of ASGD include iris hypoplasia, an enlarged or reduced corneal diameter, corneal vascularization and opacity, posterior embryotoxon, corectopia, polycoria, an abnormal iridocorneal angle, ectopia lentis, and anterior synechiae between the iris and posterior corneal surface (summary by Cheong et al., 2016). [from OMIM]

Clinical features

From HPO
Corneal opacity
MedGen UID:
40485
Concept ID:
C0010038
Finding
A reduction of corneal clarity.
Ectopia lentis
MedGen UID:
41704
Concept ID:
C0013581
Congenital Abnormality
Dislocation or malposition of the crystalline lens of the eye. A partial displacement (or dislocation) of the lens is described as a subluxation of the lens, while a complete displacement is termed luxation of the lens. A complete displacement occurs if the lens is completely outside the patellar fossa of the lens, either in the anterior chamber, in the vitreous, or directly on the retina. If the lens is partially displaced but still contained within the lens space, then it is termed subluxation.
Cataract
MedGen UID:
39462
Concept ID:
C0086543
Disease or Syndrome
A cataract is an opacity or clouding that develops in the crystalline lens of the eye or in its capsule.
Microphakia
MedGen UID:
78609
Concept ID:
C0266541
Congenital Abnormality
Abnormal smallness of the lens.
Hypoplasia of the iris
MedGen UID:
91029
Concept ID:
C0344539
Congenital Abnormality
Congenital underdevelopment of the iris.
Persistent pupillary membrane
MedGen UID:
138009
Concept ID:
C0344541
Congenital Abnormality
The presence of remnants of a fetal membrane that persist as strands of tissue crossing the pupil.
Iridodonesis
MedGen UID:
451052
Concept ID:
C0423320
Disease or Syndrome
Tremulousness of the iris on movement of the eye, occurring in subluxation of the lens.
Uveal ectropion
MedGen UID:
602252
Concept ID:
C0423325
Disease or Syndrome
Presence of iris pigment epithelium on the anterior surface of the iris.
Corneal stromal edema
MedGen UID:
96883
Concept ID:
C0474444
Finding
Abnormal accumulation of fluid and swelling of the stroma of cornea.
Iris transillumination defect
MedGen UID:
786045
Concept ID:
C1096099
Anatomical Abnormality
Transmission of light through the iris as visualized upon slit lamp examination or infrared iris transillumination videography. The light passes through defects in the pigmentation of the iris.
Congenital ectopic pupil
MedGen UID:
224790
Concept ID:
C1271219
Congenital Abnormality
Ectopia pupillae is a congenital eye malformation in which the pupils are displaced from their normal central position.
Optic nerve dysplasia
MedGen UID:
390938
Concept ID:
C2676026
Finding
The presence of developmental dysplasia of the optic nerve.

Professional guidelines

PubMed

Hsin S, Stappler T, Potic J, Wolfensberger TJ, Konstantinidis L
Klin Monbl Augenheilkd 2022 Apr;239(4):490-493. Epub 2022 Apr 26 doi: 10.1055/a-1766-6381. PMID: 35472792
Taksande A, Jameel PZ, Taksande B, Meshram R
Indian J Ophthalmol 2021 Aug;69(8):1994-2003. doi: 10.4103/ijo.IJO_3632_20. PMID: 34304165Free PMC Article
Plaisancié J, Ragge NK, Dollfus H, Kaplan J, Lehalle D, Francannet C, Morin G, Colineaux H, Calvas P, Chassaing N
Clin Genet 2018 Apr;93(4):837-845. doi: 10.1111/cge.13177. PMID: 29136273

Recent clinical studies

Etiology

Yergeau C, Coussa RG, Antaki F, Argyriou C, Koenekoop RK, Braverman NE
Ophthalmology 2023 Dec;130(12):1313-1326. Epub 2023 Aug 2 doi: 10.1016/j.ophtha.2023.07.026. PMID: 37541626
de Saint Sauveur G, Chapron T, Abdelmassih Y, Chehaibou I, Lecler A, Dureau P, Metge F, Caputo G
Ophthalmology 2023 Aug;130(8):844-853. Epub 2023 Apr 11 doi: 10.1016/j.ophtha.2023.03.027. PMID: 37044159
Shah PR, Chauhan B, Chu CT, Kofler J, Nischal KK
Cornea 2022 Feb 1;41(2):219-223. doi: 10.1097/ICO.0000000000002889. PMID: 34629439
Elbaz U, Ali A, Strungaru H, Mireskandari K
Cornea 2022 Feb 1;41(2):192-200. doi: 10.1097/ICO.0000000000002768. PMID: 34176915
Lee CY, Wu CL, Chang HK, Wu JC, Huang WC, Cheng H, Tu TH
Clin Neurol Neurosurg 2021 Oct;209:106934. Epub 2021 Sep 3 doi: 10.1016/j.clineuro.2021.106934. PMID: 34543827

Diagnosis

de Saint Sauveur G, Chapron T, Abdelmassih Y, Chehaibou I, Lecler A, Dureau P, Metge F, Caputo G
Ophthalmology 2023 Aug;130(8):844-853. Epub 2023 Apr 11 doi: 10.1016/j.ophtha.2023.03.027. PMID: 37044159
Paez-Escamilla M, Scanga HL, Liasis A, Nischal KK
Ophthalmic Genet 2022 Apr;43(2):230-234. Epub 2021 Dec 10 doi: 10.1080/13816810.2021.2004432. PMID: 34886763
Shah PR, Chauhan B, Chu CT, Kofler J, Nischal KK
Cornea 2022 Feb 1;41(2):219-223. doi: 10.1097/ICO.0000000000002889. PMID: 34629439
Elbaz U, Ali A, Strungaru H, Mireskandari K
Cornea 2022 Feb 1;41(2):192-200. doi: 10.1097/ICO.0000000000002768. PMID: 34176915
Gao F, Wang J, Chen J, Wang X, Chen Y, Sun X
Graefes Arch Clin Exp Ophthalmol 2021 Aug;259(8):2379-2387. Epub 2021 Apr 19 doi: 10.1007/s00417-021-05172-6. PMID: 33876278Free PMC Article

Therapy

Mori R, Macaya F, Giacobbe F, Salinas P, Rolfo C, Porto I, Gonzalo N, Varbella F, Cerrato E, Escaned J
Int J Cardiol 2023 Apr 15;377:22-25. Epub 2023 Jan 27 doi: 10.1016/j.ijcard.2023.01.067. PMID: 36716971
Proença T, Martins Carvalho M, Alves Pinto R, Dias P, Macedo F
Rev Port Cardiol 2023 Mar;42(3):261-266. Epub 2023 Jan 25 doi: 10.1016/j.repc.2023.01.018. PMID: 36706915
Taksande A, Jameel PZ, Taksande B, Meshram R
Indian J Ophthalmol 2021 Aug;69(8):1994-2003. doi: 10.4103/ijo.IJO_3632_20. PMID: 34304165Free PMC Article
Ye Z, Lai Y, Yao Y, Mintz GS, Liu X
Catheter Cardiovasc Interv 2019 Feb 15;93(S1):772-778. Epub 2019 Feb 21 doi: 10.1002/ccd.28094. PMID: 30790433
Chan WH, Lloyd IC, Symes RJ, Ashworth JL, Cosgrove E, Pilling R, Biswas S
Asia Pac J Ophthalmol (Phila) 2015 Nov-Dec;4(6):357-9. doi: 10.1097/APO.0000000000000138. PMID: 26716432

Prognosis

Maller VV, Johnson JN, Boston U, Knott-Craig C
Pediatr Radiol 2024 Jul;54(8):1261-1269. Epub 2024 Apr 19 doi: 10.1007/s00247-024-05911-x. PMID: 38637337Free PMC Article
Elbaz U, Ali A, Strungaru H, Mireskandari K
Cornea 2022 Feb 1;41(2):192-200. doi: 10.1097/ICO.0000000000002768. PMID: 34176915
Rachmiel A, Shilo D, Aizenbud D, Pen M, Rachmiel D, Emodi O
J Oral Maxillofac Surg 2017 Dec;75(12):2689-2700. Epub 2017 May 15 doi: 10.1016/j.joms.2017.05.006. PMID: 28599124
Klekamp J
Eur Spine J 2014 Aug;23(8):1656-65. Epub 2014 Jun 18 doi: 10.1007/s00586-014-3423-7. PMID: 24938181
Oechslin E, Buchholz S, Jenni R
Thorac Cardiovasc Surg 2000 Aug;48(4):209-13. doi: 10.1055/s-2000-6900. PMID: 11005594

Clinical prediction guides

Kamran H, Bitaraf M, Tanhaeivash R, Kajbafzadeh AM
Urology 2023 Oct;180:235-241. Epub 2023 Jul 18 doi: 10.1016/j.urology.2023.05.050. PMID: 37473922
Elbaz U, Ali A, Strungaru H, Mireskandari K
Cornea 2022 Feb 1;41(2):192-200. doi: 10.1097/ICO.0000000000002768. PMID: 34176915
Zapatero ZD, Kalmar CL, Kosyk MS, Carlson AR, Swanson JW, Bartlett SP, Taylor JA
J Craniofac Surg 2021 Oct 1;32(7):2379-2383. doi: 10.1097/SCS.0000000000007838. PMID: 34191772
Rachmiel A, Shilo D, Aizenbud D, Pen M, Rachmiel D, Emodi O
J Oral Maxillofac Surg 2017 Dec;75(12):2689-2700. Epub 2017 May 15 doi: 10.1016/j.joms.2017.05.006. PMID: 28599124
Klekamp J
Eur Spine J 2014 Aug;23(8):1656-65. Epub 2014 Jun 18 doi: 10.1007/s00586-014-3423-7. PMID: 24938181

Recent systematic reviews

Chen ZX, Jia WN, Sun Y, Chen TH, Zhao ZN, Lan LN, Liu Y, Song LH, Jiang YX
Hum Mutat 2022 Dec;43(12):2141-2152. Epub 2022 Oct 17 doi: 10.1002/humu.24483. PMID: 36208099
Taksande A, Jameel PZ, Taksande B, Meshram R
Indian J Ophthalmol 2021 Aug;69(8):1994-2003. doi: 10.4103/ijo.IJO_3632_20. PMID: 34304165Free PMC Article

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