New horizons in aniridia management: Clinical insights and therapeutic advances

Congenital aniridia is a rare genetic eye disorder characterized by the complete or partial absence of the iris from birth. Various theories and animal models have been proposed to understand and explain the pathogenesis of aniridia. In the majority of cases, aniridia is caused by a mutation in the...

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Main Authors: Abha Gour, Shailaja Tibrewal, Aastha Garg, Mehak Vohra, Ria Ratna, Virender Singh Sangwan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Taiwan Journal of Ophthalmology
Subjects:
Online Access:http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=4;spage=467;epage=478;aulast=Gour
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author Abha Gour
Shailaja Tibrewal
Aastha Garg
Mehak Vohra
Ria Ratna
Virender Singh Sangwan
author_facet Abha Gour
Shailaja Tibrewal
Aastha Garg
Mehak Vohra
Ria Ratna
Virender Singh Sangwan
author_sort Abha Gour
collection DOAJ
description Congenital aniridia is a rare genetic eye disorder characterized by the complete or partial absence of the iris from birth. Various theories and animal models have been proposed to understand and explain the pathogenesis of aniridia. In the majority of cases, aniridia is caused by a mutation in the PAX6 gene, which affects multiple structures within the eye. Treating these ocular complications is challenging and carries a high risk of side effects. However, emerging approaches for the treatment of aniridia-associated keratopathy, iris abnormalities, cataract abnormalities, and foveal hypoplasia show promise for improved outcomes. Genetic counseling plays a very important role to make informed choices. We also provide an overview of the newer diagnostic and therapeutic approaches such as next generation sequencing, gene therapy, in vivo silencing, and miRNA modulation.
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spelling doaj.art-ffda350475cc4cc7a579fa3bcf42e32c2024-04-03T06:45:05ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722023-01-0113446747810.4103/tjo.TJO-D-23-00140New horizons in aniridia management: Clinical insights and therapeutic advancesAbha GourShailaja TibrewalAastha GargMehak VohraRia RatnaVirender Singh SangwanCongenital aniridia is a rare genetic eye disorder characterized by the complete or partial absence of the iris from birth. Various theories and animal models have been proposed to understand and explain the pathogenesis of aniridia. In the majority of cases, aniridia is caused by a mutation in the PAX6 gene, which affects multiple structures within the eye. Treating these ocular complications is challenging and carries a high risk of side effects. However, emerging approaches for the treatment of aniridia-associated keratopathy, iris abnormalities, cataract abnormalities, and foveal hypoplasia show promise for improved outcomes. Genetic counseling plays a very important role to make informed choices. We also provide an overview of the newer diagnostic and therapeutic approaches such as next generation sequencing, gene therapy, in vivo silencing, and miRNA modulation.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=4;spage=467;epage=478;aulast=Gourcongenital aniridiapax6 gene mutationsaniridia-associated keratopathy (aak)clustered regularly interspaced short palindromic repeats (crispr)/crispr-associated protein 9 (cas9)
spellingShingle Abha Gour
Shailaja Tibrewal
Aastha Garg
Mehak Vohra
Ria Ratna
Virender Singh Sangwan
New horizons in aniridia management: Clinical insights and therapeutic advances
Taiwan Journal of Ophthalmology
congenital aniridia
pax6 gene mutations
aniridia-associated keratopathy (aak)
clustered regularly interspaced short palindromic repeats (crispr)/crispr-associated protein 9 (cas9)
title New horizons in aniridia management: Clinical insights and therapeutic advances
title_full New horizons in aniridia management: Clinical insights and therapeutic advances
title_fullStr New horizons in aniridia management: Clinical insights and therapeutic advances
title_full_unstemmed New horizons in aniridia management: Clinical insights and therapeutic advances
title_short New horizons in aniridia management: Clinical insights and therapeutic advances
title_sort new horizons in aniridia management clinical insights and therapeutic advances
topic congenital aniridia
pax6 gene mutations
aniridia-associated keratopathy (aak)
clustered regularly interspaced short palindromic repeats (crispr)/crispr-associated protein 9 (cas9)
url http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=4;spage=467;epage=478;aulast=Gour
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