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Homocystinuria syndrome 5


Homocystinuria Syndrome 5

General: Rare disorder of amino acid metabolism; autosomal re 838f57i cessive inheritance; approximately one third of patients with this disorder have normal intelligence.

Ocular: Dislocated or subluxated lenses; spherophakia; cataract; retinal detachment; optic atrophy; keratitis; ocular hypotony; iris atrophy; uveitis; situs inversus optic disk; central retinal artery occlusion; high myopia; strabismus; pupillary block glaucoma; lens zonular fibers have abnormal glycoprotein with elevated concentration of cystine; ectopia lentis (nearly constant feature).

Clinical: Mental retardation; sparseness of hair; thromboembolism; arachnodactyly; generalized osteoporosis; thrombotic lesions of arteries and veins; abnormal cystathionine synthetase.

Cogan D. Dislocated lenses and homocystinuria. Arch Ophthalmol 1965; 74:446.

Cross HE, Jensen AD. Ocular manifestations in the Marfan syndrome and homocystinuria. Am J Ophthalmol 1973; 75:405.

Fraunfelder FT, Roy FH. Current Ocular Therapy. 5th ed. Philadelphia: WB Saunders, 2000.

McKusick VA. Mendelian Inheritance in Man; A Catalog of Human Genes and Genetic Disorders, 12th ed. Baltimore: The Johns Hopkins University Press, 1998.

Online Mendelian Inheritance in Man, OMIM. McKusick-Nathans Institute for Genetic Medicine, Johns Hopkins University and National Center for Biotechnology Information, National Library of Medicine, February 12, 2007. World Wide Web URL: https://www.ncbi.nlm.nih.gov/omim/.

Streeten BW The nature of the ocular zonule. Trans Am Ophthalmol Soc 1982; 80:823-854.

Ramsey MS, et al. The ocular histopathology of homocystinuria. A light and electron microscopic study. Am J Ophthalmol 1972; 74:377.




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