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Ocular findings in Cerebro-Ocular-Myopathy syndrome (COMS)

A possible role of growth factors?

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Abstract

The clinical and histopathological findings are described in a case of cerebral and ocular abnormalities associated with (congenital) muscular dystrophy.

Histopathological examination of the eyes revealed a fetal configuration of the anterior chamber angle, elongated ciliary processes, cataract, persistence of primary hyperplastic vitreous and total retinal detachment with retinal dysplasia. The similarity of ocular findings in Walker-Warburg syndrome, muscle-eye-brain disease and Fukuyama's congenital muscular dystrophy, and the role of growth factors as a possible unifying (foetal) cause are discussed.

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References

  1. Walker AE. Lissencephaly. Arch Neurol Psych 1942; 48:13–29.

    Google Scholar 

  2. Warburg M. The heterogeneity of microphthalmia in the mentally retarded. Birth defects: original Article Series 1971; 7:136–54.

    Google Scholar 

  3. Warburg M. Hydrocephalus, congenital retinal nonattachment, and congenital falciform fold. Am J Ophthalmol 1978; 85: 88–94.

    Google Scholar 

  4. Chan CC, Egbert PR, Herrick MK, Urich H. Oculocerebral malformations: a reappraisal of Walker's ‘lissencephaly’. Arch Neurol 1980; 37:104–8.

    Google Scholar 

  5. Pavone L, Gullotta F, Grasso S, Vannucchi C. Hydrocephalus, lissencephaly, ocular abnormalities and congenital muscular dystrophy: a Warburg syndrome variant? Neuropediatrics 1986; 17: 206–11.

    Google Scholar 

  6. Fukuyama Y, Kawazura M, Haruna H. A peculiar form of congenital progressive muscular dystrophy. Paediatr Univ (Tokyo) 1960; 4: 5–8.

    Google Scholar 

  7. Fukuyama Y, Osawa M, Suzuki H. Congenital progressive muscular dystrophy of the Fukuyama type. Clinical, genetic and pathological considerations. Brain Dev 1981; 3:1–29.

    Google Scholar 

  8. Dambska M, Wisniewski K, Sher J, Solish G. Cerebro-oculo-muscular syndrome: a variant of Fukuyama congenital cerebromuscular dystrophy. Clin Neuropathol 1982; 1(3): 93–8.

    Google Scholar 

  9. Tsutsumi A, Uchida Y, Osawa M, Fukuyama Y. Ocular findings in Fukuyama type congenital muscular dystrophy. Brain Dev 1989; 11: 413–9.

    Google Scholar 

  10. Santavuori P, Leisti J, Kruus S. Muscle, eye and brain disease: A new syndrome. Neuropädiatrie 1977; 8: 550.

    Google Scholar 

  11. Raitta C, Lamminen M, Santavuori P, Leisti L. Ophthalmological findings in a new syndrome with muscle, eye, and brain involvement. Acta Ophthalmol 1978; 56:465–72.

    Google Scholar 

  12. Santavuori P, Somer H, Sainio K, et al. Muscle-eye-brain disease (MEB). Brain Dev 1989; 11:147–53.

    Google Scholar 

  13. Towfighi J, Sassani JW, Suzuki K, Ladda RL. Cerebro-ocular dysplasia — muscular dystrophy (COD-MD) syndrome. Acta Neuropathol 1984; 65:110–23.

    Google Scholar 

  14. Heggie P, Grossniklaus HE, Roessmann U, Chou SM, Cruse RP. Cerebro-ocular dysplasia — muscular dystrophy syndrome: report of two cases. Arch Ophthalmol 1987; 105: 520–4.

    Google Scholar 

  15. Federico A, Dotti MT, Malandrini A, Guazzi GC, Hayek G, Simonati A, Rizzuto N, Toti P. Cerebro-ocular dysplasia and muscular dystrophy: report of two cases. Neuropediatrics 1988; 19(2): 109–12.

    Google Scholar 

  16. Sasaki M, Yoshioka K, Yanagisawa T, Nemoto A, Takasago Y, Nagano T. Lissencephaly with congenital muscular dystrophy and ocular abnormalities: cerebro-oculo-muscular syndrome. Child's Nerv Syst 1989; 5:35–7.

    Google Scholar 

  17. Dobyns WB, McCluggage CW. Computed tomographic appearance of lissencephaly syndromes. AJNR 1985; 6: 545–50.

    Google Scholar 

  18. Dobyns WR, Pagon RA, Armstrong D, et al. Diagnostic criteria for Walker-Warburg syndrome. Am J Med Genet 1989; 32:195–210.

    Google Scholar 

  19. Santavuori P, Pihko H, Sainio K, et al. Muscle-eye-brain disease and Walker-Warburg syndrome [Letter]. Am J Med Genet 1990; 36: 371–2.

    Google Scholar 

  20. Dobyns WB, Pagon RA, Curry CJR, Greenberg F. Response to Santavuori et al. regarding Walker-Warburg syndrome and muscle-eye-brain disease [Letter], Am J Med Genet 1990; 36: 373–4.

    Google Scholar 

  21. Leyten QH, Renkawek K, Renier WO, et al. Neuropathological findings in muscle-eye-brain disease (MEB-D). Acta Neuropathol 1991; 83: 55–60.

    Google Scholar 

  22. Bolande RP. The neurocristopathies: a unifying concept of disease arising in neural crest maldevelopment. Human Pathol 1974; 5(4): 409–29.

    Google Scholar 

  23. Rhodes RH, Carbajal UM. Ocular malformation involving tissue of neural crest derivation. Graefe's Arch Clin Exp Ophthalmol 1982; 219:135–9.

    Google Scholar 

  24. Mooy CM, Clark BJ, Lee WR. Posterior axial corneal malformation and uveoretinal angiodysgenesis — a neurocristopathy? Graefe's Arch Clin Exp Ophthalmol 1990; 228:9–18.

    Google Scholar 

  25. Tripathi BJ, Tripathi RC, Livingston AM, Borisuth NSC. The role of growth factors in the embryogenesis and differentiation of the eye. Am J Anatomy 1991; 192: 442–66.

    Google Scholar 

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This case has been presented at the meeting of the EOPS Verhoeff Society, Nürnberg 1991.

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Sanders, D.G.M., Mooy, C.M. Ocular findings in Cerebro-Ocular-Myopathy syndrome (COMS). Int Ophthalmol 17, 223–228 (1993). https://doi.org/10.1007/BF01007744

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  • DOI: https://doi.org/10.1007/BF01007744

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