Pulverulent cataract with variably associated microcornea and iris coloboma in a MAF mutation family
- 1Academic Unit of Medical Genetics and Regional Genetic Service, St Mary's Hospital, Manchester M13 0JH, UK
- 2Department of Clinical Genetics and Sydney University Department of Paediatrics and Child Health, The Children's Hospital at Westmead, Sydney, NSW, 2145, Australia
- 3Hopital Ophtalmique Jules Gonin, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
- 4Academic Unit of Ophthalmology, Manchester Royal Eye Hospital, Manchester M13 9WH, UK
- Correspondence to: R V Jamieson; robynj{at}chw.edu.au
- Accepted 4 September 2002
Abstract
Aims: To report the detailed clinical findings in a three generation pedigree with autosomal dominant cataract, microcornea, and coloboma resulting from mutation of the lens development gene, MAF.
Methods: Five members of a three generation pedigree with progressive cataracts underwent detailed ophthalmic examination to characterise associated ocular phenotypic features.
Results: The cataracts present in all affected individuals were cortical, and/or nuclear, pulverulent opacities. Corneal diameters of 10–10.25 mm were present in two family members. Axial lengths were in the normal range. Bilateral iris coloboma in the 6 o'clock position was present in one patient. Uveal melanoma was present in one patient, with uveal naevi in this and one other patient.
Conclusion: The bZIP transcription factor MAF is a key lens development gene that regulates the expression of the crystallins. Individuals with a mutation in MAF may have pulverulent cataract alone or cataract in association with microcornea or iris coloboma.







