Case series: Pyramidal cataracts, intact irides and nystagmus from three novel PAX6 mutations

Purpose: To investigate the association between novel PAX6 mutations to bilateral anterior pyramidal congenital cataracts (APyC), complete and intact irides, and nystagmus. Observations: This is a retrospective observational case series in a multi-center setting with genetic testing. Three female pa...

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Main Authors: Bharesh K. Chauhan, Anagha Medsinge, Matthew P. Baumgartner, Hannah L. Scanga, Smaragda Kamakari, Eva Gajdosova, Carlos J. Camacho, Ken K. Nischal
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993617302578
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author Bharesh K. Chauhan
Anagha Medsinge
Matthew P. Baumgartner
Hannah L. Scanga
Smaragda Kamakari
Eva Gajdosova
Carlos J. Camacho
Ken K. Nischal
author_facet Bharesh K. Chauhan
Anagha Medsinge
Matthew P. Baumgartner
Hannah L. Scanga
Smaragda Kamakari
Eva Gajdosova
Carlos J. Camacho
Ken K. Nischal
author_sort Bharesh K. Chauhan
collection DOAJ
description Purpose: To investigate the association between novel PAX6 mutations to bilateral anterior pyramidal congenital cataracts (APyC), complete and intact irides, and nystagmus. Observations: This is a retrospective observational case series in a multi-center setting with genetic testing. Three female patients were diagnosed with bilateral APyC, intact irides and nystagmus. Genetic testing identified the three patients had novel missense mutations in PAX6 – c.128C > T; p.Ser43Phe (S43F), c. 197T > A; p.Ile66Asn (I66N) and c.781C > G; p.Arg261Gly (R261G). Conclusions and importance: This study demonstrates a novel phenotype of bilateral APyC, intact irides, and nystagmus in whom genetic testing for PAX6 identified novel missense mutations (S43F, I66N, R261G) in highly conserved DNA-binding domains. Implications of understanding why the iris is present in these cases is discussed. Keywords: Pyramidal cataracts, Intact irides, Nystagmus, Novel PAX6 missense mutations
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spelling doaj.art-c1d43e8bccff4b4c8b57b21e1f5190662022-12-22T02:26:01ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-06-0110172179Case series: Pyramidal cataracts, intact irides and nystagmus from three novel PAX6 mutationsBharesh K. Chauhan0Anagha Medsinge1Matthew P. Baumgartner2Hannah L. Scanga3Smaragda Kamakari4Eva Gajdosova5Carlos J. Camacho6Ken K. Nischal7UPMC Eye Center, Children's Hospital of Pittsburgh, Pittsburgh, PA 15224, USA; Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USAUPMC Eye Center, Children's Hospital of Pittsburgh, Pittsburgh, PA 15224, USADepartment of Computational and Systems Biology, University of Pittsburgh, Pittsburgh, PA 15260, USAUPMC Eye Center, Children's Hospital of Pittsburgh, Pittsburgh, PA 15224, USAOphthalmic Genetics Unit, OMMA, Ophthalmological Institute of Athens, Katehaki 74, 11525, Athens, GreeceGreat Ormond Street Hospital for Children, London, WC1N 3JH, UKDepartment of Computational and Systems Biology, University of Pittsburgh, Pittsburgh, PA 15260, USAUPMC Eye Center, Children's Hospital of Pittsburgh, Pittsburgh, PA 15224, USA; Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA; Corresponding author. Children's Eye Center of UPMC and CHP, 4401 Penn Avenue, Suite 5701, Pittsburgh, PA 15224, USA.Purpose: To investigate the association between novel PAX6 mutations to bilateral anterior pyramidal congenital cataracts (APyC), complete and intact irides, and nystagmus. Observations: This is a retrospective observational case series in a multi-center setting with genetic testing. Three female patients were diagnosed with bilateral APyC, intact irides and nystagmus. Genetic testing identified the three patients had novel missense mutations in PAX6 – c.128C > T; p.Ser43Phe (S43F), c. 197T > A; p.Ile66Asn (I66N) and c.781C > G; p.Arg261Gly (R261G). Conclusions and importance: This study demonstrates a novel phenotype of bilateral APyC, intact irides, and nystagmus in whom genetic testing for PAX6 identified novel missense mutations (S43F, I66N, R261G) in highly conserved DNA-binding domains. Implications of understanding why the iris is present in these cases is discussed. Keywords: Pyramidal cataracts, Intact irides, Nystagmus, Novel PAX6 missense mutationshttp://www.sciencedirect.com/science/article/pii/S2451993617302578
spellingShingle Bharesh K. Chauhan
Anagha Medsinge
Matthew P. Baumgartner
Hannah L. Scanga
Smaragda Kamakari
Eva Gajdosova
Carlos J. Camacho
Ken K. Nischal
Case series: Pyramidal cataracts, intact irides and nystagmus from three novel PAX6 mutations
American Journal of Ophthalmology Case Reports
title Case series: Pyramidal cataracts, intact irides and nystagmus from three novel PAX6 mutations
title_full Case series: Pyramidal cataracts, intact irides and nystagmus from three novel PAX6 mutations
title_fullStr Case series: Pyramidal cataracts, intact irides and nystagmus from three novel PAX6 mutations
title_full_unstemmed Case series: Pyramidal cataracts, intact irides and nystagmus from three novel PAX6 mutations
title_short Case series: Pyramidal cataracts, intact irides and nystagmus from three novel PAX6 mutations
title_sort case series pyramidal cataracts intact irides and nystagmus from three novel pax6 mutations
url http://www.sciencedirect.com/science/article/pii/S2451993617302578
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