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UNSW Embryology

Development of Vision - Abnormalities

© Dr Mark Hill (2008)

Acknowledgements

Introduction

These notes introduce the abnormal development of the eye and vision associated structures.

Anophthalmia (absence of an eye) and microphthalmia (small eye within the orbit) have a combined birth prevalence of approximately 30 per 100,000 population. (More? Verma AS, Fitzpatrick DR., 2007)

Genetic factors include developmental transcription factors required for inductive/developmental events in the structure of the eye and retina development.

Environmental factors include gestational-acquired infections, maternal vitamin A deficiency, smoking, X-ray exposure, solvent misuse and thalidomide exposure.

Page Links: Introduction | Australian Statistics 1981-1992 | World Statistics | Some Recent Findings | Anophthalmia | Microphthalmia | Bardet-Biedl Syndrome | Developmental Genes | Development Overview | Components of Eye Formation | References | Glossary

Australian Statistics 1981-1992

(More? World Statistics)

Some Recent Findings

Evans AL, Gage PJ. Expression of the homeobox gene Pitx2 in neural crest is required for optic stalk and ocular anterior segment development. Hum Mol Genet. 2005 Nov 15;14(22):3347-59.

"Heterozygous mutations in the homeobox gene, PITX2, result in ocular anterior segment defects and a high incidence of early-onset glaucoma."

Ferda Percin E, Ploder LA, Yu JJ, Arici K, Horsford DJ, Rutherford A, Bapat B, Cox DW, Duncan AM, Kalnins VI, Kocak-Altintas A, Sowden JC, Traboulsi E, Sarfarazi M, McInnes RR. Human microphthalmia associated with mutations in the retinal homeobox gene CHX10. Nat Genet. 2000 Aug;25(4):397-401.

"We report here the mapping of a human microphthalmia locus on chromosome 14q24.3, the cloning of CHX10 at this locus and the identification of recessive CHX10 mutations in two families with non-syndromic microphthalmia (MIM 251600), cataracts and severe abnormalities of the iris. ...highly conserved arginine residue in the DNA-recognition helix of the homeodomain is replaced by glutamine or proline"

Anophthalmia

Anophthalmia is clinical description for the absence of an eye. Gene mutation of SOX2, a dvelopmental transcription factor, has been associated with this condition.

Search PubMed: anophthalmia

Microphthalmia

Microphthalmia is clinical description for the presence of a small eye within the orbit and occurs in up to 11% of blind children.

Ferda Percin E, Ploder LA, Yu JJ, Arici K, Horsford DJ, Rutherford A, Bapat B, Cox DW, Duncan AM, Kalnins VI, Kocak-Altintas A, Sowden JC, Traboulsi E, Sarfarazi M, McInnes RR. Human microphthalmia associated with mutations in the retinal homeobox gene CHX10. Nat Genet. 2000 Aug;25(4):397-401.

Search PubMed: microphthalmia

Bardet-Biedl Syndrome

(BBS) is an abnormality with triallelic inheritance and is characterized by a range of multisystem abnormalities incliuding postnatal developmental blindness.

(More? OMIM - Bardet-Biedl syndrome | GeneReviews - Bardet-Biedl syndrome)

Search PubMed: Bardet-Biedl syndrome

Developmental Genes

The following developmental genes have been identified as having a role in malformations of the eye:

CHX10 - autosomal recessive syndrome of microphthalmia/anophthalmia with iris colobomas and cataracts

EYA1, EYA2, EYA3

FOXE3 - lens agenesis

Otx2

Pitx2 - (neural crest) required for optic stalk and ocular anterior segment

Pax6 - cause failure of lens induction

SIX4, SIX6

Sox2 - cause failure of lens induction

World Statistics

Sweden | United Kingdom | USA California |

Sweden

(More? Källén B, Tornqvist K., 2005)

United Kingdom - England

(More? Dolk H, etal., 1998)

USA California

(More? Shaw GM, etal., 2005)

Eye

OMIM List of Entries (1999, uppercase entry is a specific record)

Components of Eye Formation

surface ectoderm | neural crest | neural ectoderm | blood vessels | perioptic mesoderm | hyaloid cavity

surface ectoderm

top of table

neural crest

top of table

neural ectoderm

top of table

blood vessels

top of table

perioptic (orbital) mesoderm

top of table

hyaloid cavity

Modified from The Anatomical Basis of Mouse Development Kaufman and Bard, 1999 Academic Press

References

Reviews

Verma AS, Fitzpatrick DR. Anophthalmia and microphthalmia. Orphanet J Rare Dis. 2007 Nov 26;2:47.

Cvekl A, Tamm ER. Anterior eye development and ocular mesenchyme: new insights from mouse models and human diseases. Bioessays. 2004 Apr;26(4):374-86.

Articles

Evans AL, Gage PJ. Expression of the homeobox gene Pitx2 in neural crest is required for optic stalk and ocular anterior segment development. Hum Mol Genet. 2005 Nov 15;14(22):3347-59.

Källén B, Tornqvist K. The epidemiology of anophthalmia and microphthalmia in Sweden. Eur J Epidemiol. 2005;20(4):345-50.

Shaw GM, Carmichael SL, Yang W, Harris JA, Finnell RH, Lammer EJ. Epidemiologic characteristics of anophthalmia and bilateral microphthalmia among 2.5 million births in California, 1989-1997. Am J Med Genet A. 2005 Aug 15;137(1):36-40.

Ferda Percin E, Ploder LA, Yu JJ, Arici K, Horsford DJ, Rutherford A, Bapat B, Cox DW, Duncan AM, Kalnins VI, Kocak-Altintas A, Sowden JC, Traboulsi E, Sarfarazi M, McInnes RR. Human microphthalmia associated with mutations in the retinal homeobox gene CHX10. Nat Genet. 2000 Aug;25(4):397-401.

Dolk H, Busby A, Armstrong BG, Walls PH. Geographical variation in anophthalmia and microphthalmia in England, 1988-94. BMJ. 1998 Oct 3;317(7163):905-9;

Glossary of Terms

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