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Abnormality of refraction

MedGen UID:
871349
Concept ID:
C4025843
Anatomical Abnormality
Synonym: Refraction abnormalities
 
HPO: HP:0000539

Definition

An abnormality in the process of focusing of light by the eye in order to produce a sharp image on the retina. [from HPO]

Conditions with this feature

Williams syndrome
MedGen UID:
59799
Concept ID:
C0175702
Disease or Syndrome
Williams syndrome (WS) is characterized by developmental delay, intellectual disability (usually mild), a specific cognitive profile, unique personality characteristics, cardiovascular disease (supravalvar aortic stenosis, peripheral pulmonary stenosis, hypertension), connective tissue abnormalities, growth deficiency, endocrine abnormalities (early puberty, hypercalcemia, hypercalciuria, hypothyroidism), and distinctive facies. Hypotonia and hyperextensible joints can result in delayed attainment of motor milestones. Feeding difficulties often lead to poor weight gain in infancy.
Tyrosinase-negative oculocutaneous albinism
MedGen UID:
1643910
Concept ID:
C4551504
Disease or Syndrome
There are several additional, rare types of oculocutaneous albinism.\n\nOculocutaneous albinism is a group of conditions that affect the color of (pigmentation) of the skin, hair, and eyes. Affected individuals typically have very fair skin and white or light-colored hair. Long-term sun exposure greatly increases the risk of skin damage and skin cancers, including an aggressive form of skin cancer called melanoma, in people with this condition. \n\nResearchers have identified multiple types of oculocutaneous albinism, which are distinguished by their specific skin, hair, and eye color changes, and by their genetic cause. Oculocutaneous albinism type 1 is characterized by white hair, very pale skin, and light-colored irises. Type 2 is typically less severe than type 1; the skin is usually pale and hair may be light yellow, blond, or light brown. Type 3 causes reddish-brown skin, ginger or red hair, and hazel or brown irises. Type 3 is often associated with milder vision abnormalities than the other forms of oculocutaneous albinism. Type 4 has signs and symptoms similar to those seen in people with type 2.\n\nOculocutaneous albinism also reduces pigmentation of the colored part of the eye (the iris) and the light-sensitive tissue at the back of the eye (the retina). People with this condition usually have vision problems such as reduced sharpness; rapid, involuntary eye movements (nystagmus); eyes that do not point in the same direction (strabismus); and increased sensitivity to light (photophobia).

Professional guidelines

PubMed

Ravenscroft G, Clayton JS, Faiz F, Sivadorai P, Milnes D, Cincotta R, Moon P, Kamien B, Edwards M, Delatycki M, Lamont PJ, Chan SH, Colley A, Ma A, Collins F, Hennington L, Zhao T, McGillivray G, Ghedia S, Chao K, O'Donnell-Luria A, Laing NG, Davis MR
J Med Genet 2021 Sep;58(9):609-618. Epub 2020 Oct 15 doi: 10.1136/jmedgenet-2020-106901. PMID: 33060286Free PMC Article
Yu X, Chen W, Xu W
J Cataract Refract Surg 2020 Dec;46(12):1674-1679. doi: 10.1097/j.jcrs.0000000000000334. PMID: 32694307
Rowe B, Yosipovitch G
Curr Probl Dermatol 2016;50:149-54. Epub 2016 Aug 23 doi: 10.1159/000446060. PMID: 27578084

Recent clinical studies

Etiology

Flitcroft I, Ainsworth J, Chia A, Cotter S, Harb E, Jin ZB, Klaver CCW, Moore AT, Nischal KK, Ohno-Matsui K, Paysse EA, Repka MX, Smirnova IY, Snead M, Verhoeven VJM, Verkicharla PK
Invest Ophthalmol Vis Sci 2023 May 1;64(6):3. doi: 10.1167/iovs.64.6.3. PMID: 37126360Free PMC Article
Rappon J, Chung C, Young G, Hunt C, Neitz J, Neitz M, Chalberg T
Br J Ophthalmol 2023 Nov;107(11):1709-1715. Epub 2022 Sep 1 doi: 10.1136/bjo-2021-321005. PMID: 36126105Free PMC Article
Zhang H, Gong R, Zhang X, Deng Y
Int Ophthalmol 2022 Nov;42(11):3625-3641. Epub 2022 Jun 22 doi: 10.1007/s10792-022-02355-w. PMID: 35731355Free PMC Article
Martín-Begué N, Saint-Gerons M
Arch Soc Esp Oftalmol 2016 Dec;91(12):577-588. Epub 2016 Jul 1 doi: 10.1016/j.oftal.2016.05.010. PMID: 27378455
Flitcroft DI
Prog Retin Eye Res 2012 Nov;31(6):622-60. Epub 2012 Jul 4 doi: 10.1016/j.preteyeres.2012.06.004. PMID: 22772022

Diagnosis

Oke I, Ness SD, Peeler CE
J Binocul Vis Ocul Motil 2023 Jul 3;73(3):75-76. Epub 2023 Apr 12 PMID: 37043635
Zhang H, Gong R, Zhang X, Deng Y
Int Ophthalmol 2022 Nov;42(11):3625-3641. Epub 2022 Jun 22 doi: 10.1007/s10792-022-02355-w. PMID: 35731355Free PMC Article
Yu X, Chen W, Xu W
J Cataract Refract Surg 2020 Dec;46(12):1674-1679. doi: 10.1097/j.jcrs.0000000000000334. PMID: 32694307
Martín-Begué N, Saint-Gerons M
Arch Soc Esp Oftalmol 2016 Dec;91(12):577-588. Epub 2016 Jul 1 doi: 10.1016/j.oftal.2016.05.010. PMID: 27378455
Greenwald MJ
Pediatr Clin North Am 2003 Feb;50(1):197-212. doi: 10.1016/s0031-3955(02)00105-0. PMID: 12713113

Therapy

Liebers DT, Ebina W, Iosifescu DV
Harv Rev Psychiatry 2023 Jul-Aug 01;31(4):214-221. doi: 10.1097/HRP.0000000000000374. PMID: 37437254
Kumar NR, Praveen M, Narasimhan R, Khamar P, D'Souza S, Sinha-Roy A, Sethu S, Shetty R, Ghosh A
Indian J Ophthalmol 2023 Apr;71(4):1190-1202. doi: 10.4103/IJO.IJO_2981_22. PMID: 37026250Free PMC Article
Rappon J, Chung C, Young G, Hunt C, Neitz J, Neitz M, Chalberg T
Br J Ophthalmol 2023 Nov;107(11):1709-1715. Epub 2022 Sep 1 doi: 10.1136/bjo-2021-321005. PMID: 36126105Free PMC Article
Zhang H, Gong R, Zhang X, Deng Y
Int Ophthalmol 2022 Nov;42(11):3625-3641. Epub 2022 Jun 22 doi: 10.1007/s10792-022-02355-w. PMID: 35731355Free PMC Article
Flitcroft DI
Prog Retin Eye Res 2012 Nov;31(6):622-60. Epub 2012 Jul 4 doi: 10.1016/j.preteyeres.2012.06.004. PMID: 22772022

Prognosis

Zhang H, Gong R, Zhang X, Deng Y
Int Ophthalmol 2022 Nov;42(11):3625-3641. Epub 2022 Jun 22 doi: 10.1007/s10792-022-02355-w. PMID: 35731355Free PMC Article
Witmer MT, Margo CE, Drucker M
Surv Ophthalmol 2010 Sep-Oct;55(5):403-28. Epub 2010 Jul 10 doi: 10.1016/j.survophthal.2010.01.002. PMID: 20621322
Wagner RS, Caputo AR, Reynolds RD
Ophthalmology 1990 Nov;97(11):1439-44. doi: 10.1016/s0161-6420(90)32399-0. PMID: 2147744
Berninger TA, Arden GB
Eye (Lond) 1988;2 Suppl:S257-83. doi: 10.1038/eye.1988.149. PMID: 3076152
Sternberg P Jr, Fitzke F, Finkelstein D
Am J Ophthalmol 1982 Nov;94(5):664-9. doi: 10.1016/0002-9394(82)90012-5. PMID: 7148947

Clinical prediction guides

Guo D, Li S, Xiao X, Jiang Y, Wang Y, Jin G, Wang J, Ouyang J, Jia X, Sun W, Wang P, Zheng D, Zhang Q
Invest Ophthalmol Vis Sci 2024 Jan 2;65(1):20. doi: 10.1167/iovs.65.1.20. PMID: 38190127Free PMC Article
Zhang H, Gong R, Zhang X, Deng Y
Int Ophthalmol 2022 Nov;42(11):3625-3641. Epub 2022 Jun 22 doi: 10.1007/s10792-022-02355-w. PMID: 35731355Free PMC Article
Ravenscroft G, Clayton JS, Faiz F, Sivadorai P, Milnes D, Cincotta R, Moon P, Kamien B, Edwards M, Delatycki M, Lamont PJ, Chan SH, Colley A, Ma A, Collins F, Hennington L, Zhao T, McGillivray G, Ghedia S, Chao K, O'Donnell-Luria A, Laing NG, Davis MR
J Med Genet 2021 Sep;58(9):609-618. Epub 2020 Oct 15 doi: 10.1136/jmedgenet-2020-106901. PMID: 33060286Free PMC Article
Martínez-Abad A, Piñero DP
J Cataract Refract Surg 2017 Sep;43(9):1213-1227. doi: 10.1016/j.jcrs.2017.07.021. PMID: 28991620
Flitcroft DI
Prog Retin Eye Res 2012 Nov;31(6):622-60. Epub 2012 Jul 4 doi: 10.1016/j.preteyeres.2012.06.004. PMID: 22772022

Recent systematic reviews

Li M, Liu S, Huang W, Zhang J
Aging (Albany NY) 2021 Jun 11;13(11):15674-15687. doi: 10.18632/aging.203147. PMID: 34118792Free PMC Article
Yu X, Chen W, Xu W
J Cataract Refract Surg 2020 Dec;46(12):1674-1679. doi: 10.1097/j.jcrs.0000000000000334. PMID: 32694307
Wadhwani M, Vashist P, Singh SS, Gupta V, Gupta N, Saxena R
Indian J Ophthalmol 2020 Feb;68(2):311-315. doi: 10.4103/ijo.IJO_2076_18. PMID: 31957718Free PMC Article
Vilela MA, Pellanda LC, Fassa AG, Castagno VD
J Pediatr (Rio J) 2015 Jul-Aug;91(4):320-5. Epub 2015 May 16 doi: 10.1016/j.jped.2014.10.008. PMID: 25986614
Taylor K, Elliott S
Cochrane Database Syst Rev 2014 Jul 23;2014(7):CD006461. doi: 10.1002/14651858.CD006461.pub4. PMID: 25051925Free PMC Article

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