Case Report

Ocular Manifestations of the NAA10-Related Syndrome

Table 1

Summary of the 20 patients with the NAA10-related syndrome that have reported ocular findings.
(a)

Rope, et al. 2011Esmailpour, et al. 2014Casey, et al. 2015

NAA10 gene pathogenic variantc.109T>C p.Ser37Proc.109T>C p.Ser37Proc.109T>C p.Ser37Proc.109T>C p.Ser37Proc.109T>C p.Ser37ProIntron 7 splice c.471+2T→AIntron 7 splice c.471+2T→AIntron 7 splice c.471+2T→Ac.128A>C p.(Tyr43Ser)

Inheritanceinheritedinheritedinheritedinheritedinheritedinheritedinheritedinheritedinherited

GenderMMMMMMMMM

Eye findingsHypertelorismProminent eyes, downslanted palpebral fissures, ocular hypertelorismProminent eyes, downslanted palpebral fissures, ocular hypertelorismLarge eyes, bilateral ptosisMild lagophthalmos, infraorbital creasesAnophthalmia/
microphthalmia
Anophthalmia/
microphthalmia
Anophthalmia/
microphthalmia
Moderate right convergent squint, hyperopic astigmatism, dense right amblyopia

Dysmorphic features++++++++

Cardiac anomalies+++++

Renal anomalies+--

NeuroMRI brain: bilateral globus pallidus T2 prolongation without diffusion restriction, ventricular dilationHyper/
hypotonia
MRI- arterial sclerosisSeizuresHypotonia. MRI- mild dialation of ventricles nd mild cerebral atrophy

Feeding issues/FTT-+++-

Developmental delay+++++++

Motor delay++++

(b)

Saunier, et al. 2016Valentine, et al. 2018Gupta, et al. 2019

NAA10 gene pathogenic variantc.319G>T p.(Val107Phe)c.384T>A p.(Phe128Leu)c.384T>A p.(Phe128Leu)c.382T>A p.(Phe128Ile)c.247C>T p.(Arg83Cys)c.247C>T p.(Arg83Cys)c.247C>T p.(Arg83Cys)c.247C>T p.(Arg83Cys)c.247C>T p.(Arg83Cys)c.346C>T (p.Arg116Trp)c.247C>T p.(Arg83Cys)

Inheritancede novode novode novode novode novode novode novode novoinheritedde novode novo

GenderFFFFFFFFFFF

Eye findingsAstigmatism, strabismus, mild optic atrophyCortical vision impairmentCortical vision impairment, ambylopiaHyperopia, astigmatism, exotropiaMyopia, astigmatismAlternating exotropia, cortical vision impairmentAstigmatism, hyperopiaHyperopiaMyopiaPtosis, eyelid myoclonusMyopic astigmatism, nystagmus, exotropia

Dysmorphic features+-+++++

Cardiac anomalies++-++-++---

Renal anomalies------+-+-

NeuroHypotonia. MRI- thin corpus callosumHypotonia. MRI- parenchymal atrophy, thin corpus callosum. Pre and postnatal vetriculomegalyHypotonia. Seizures. MRI normal at age 1Hyper/
hypotonia. MRI- Supraventricular cyst without hyocephalus
Hypotonia. MRI- Periventricular white matter lossHyper/
hypotonia. MRI- IVH occipital horn, periventricular leukomalacia, hypoxia ischemic encephalopathy
Hypotonia. MRI normal at age 3HypertoniaHypo/
hypertonia. Absence seizures
Hypotonia, seizures, MRI at age 3- ventricular prominence without hydrocephalus and diminutive geni and corpus callosum

Feeding issues/FTT++++++++-+

Developmental delay+++++++++++

Motor delay+++++++++