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Br J Ophthalmol 83:452-457 doi:10.1136/bjo.83.4.452
  • Original Article
    • Clinical science

Lens epithelial changes and mutated gene expression in patients with myotonic dystrophy

Table 1

Ophthalmic findings in patients with myotonic dystrophy

Patients Age/ duration/ sex Visus pre/post operation Lens opacity Retinal changes ERG Corneal
CD
(cells/mm2)
Lens CD
(cells/ mm2)
Myotonia/ heart abnormality
1 H-II-2 59/16/M LS/0.6 MCIO + OPsA 3676 3802 +/+
HM/0.7 MCIO + OPsA 3095 3144 +/+
2 T-II-4 58/21/F 0.3/0.9 MCIO + OPsA 2865 2506 +/+
0.4/1.0 MCIO + OPsA 3044 2849 +/+
3 O-III-1 33/2/M 0.06/1.0 PSCO OPsA 3620 1326 +/+
0.03/1.0 PSCO OPsA 2868 1543 +/+
  • Age/duration/sex indicate the age and sex of the patients and duration of the disease; visus pre/post operation: best corrected visual acuity before and after operation; ERG=electroretinogram; corneal CD= corneal endothelial cell density; lens CD= lens epithelial cell density; myotonia and heart abnormality= patients who showed muscle weakness or myotonia in any other place in the body or who had heart abnormalities detected by electrocardiogram or cardioechography;

  • LS:=light sensitivity; HM= hand movements; MCIO:=multicoloured iridescent opacity; PSCO= posterior subcapsular opacity; OPsA=attenuated oscillatory potentials; the lens CD in patients with MD (average 2274 cells/mm2) was statistically significant, compared with controls with senile cataracts (average 4627 cells/mm2) (p=0.004).

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