Research Article

Phenotypic Variation in a Four-Generation Family with Aniridia Carrying a Novel PAX6 Mutation

Table 2

Summary of clinical findings.

PatientVAInitial anterior segment findingsInitial posterior segment findingsIOP (mmHg) glaucoma medsGlaucoma diagnosis (Dx) and glaucoma surgeriesOther ocular surgeries

III-5OD: 20/150
OS: 20/150
OU: 20/100
Corneal pannuses
Hypoplastic irides
Cortical cataracts
Foveal hypoplasia
Optic nerve Hypoplasia
OD: 23
OS: 19
No meds
No glaucomaOD: none
OS: none
IV-1OD: 20/200
OS: 20/200
OU: 20/200
Corneal pannuses
Hypoplastic irides
Foveal hypoplasia
Optic nerve Hypoplasia
OD: 13
OS: 14
No meds
Glaucoma Dx @ 0.3 years
OD: s/p Baerveldt 101-350
OS: s/p Baerveldt 101-350
Strabismus: s/p bilateral medial rectus recessions
III-8OD: 20/125
OS: 20/200
Corneal epithelial irregularities and pannus with neovascularization
Hypoplastic irides
Foveal hypoplasia
Optic Nerve hypoplasia
OD: 14
OS: 17
Timolol
Dorzolamide
Glaucoma Dx @ 20 years
No glaucoma surgeries
OD: s/p ECCE-IOL
OS: s/p ECCE-IOL
Strabismus: s/p bilateral lateral rectus Recessions, s/p Bilateral Inferior Oblique Recessions, s/p Bilateral Medial Rectus Recessions with Inferior Transpositions, s/p Left Inferior Oblique Anteriorization
IV-4OD: 20/300
OS: 20/250
OU: 20/200
Corneal pannus
Cortical and posterior subcapsular cataracts
Foveal hypoplasia
Optic nerve Hypoplasia
OD: 14
OS: 17
Timolol
Dorzolamide
Glaucoma Dx @ 5 years
OD: s/p Baerveldt 101-350
OS: s/p Baerveldt 101-350
Strabismus: s/p bilateral medial rectus recessions with half tendon infraplacement, s/p bilateral inferior oblique partial anteriorization
IV-5OD: 20/380
OS: 20/380
OU: 20/260
Hypoplastic irides
Focal cataract OD
Foveal hypoplasiaOD: 20
OS: 15
Timolol
Dorzolamide
Glaucoma Dx @ 2 years
No glaucoma surgeries
OD: none
OS: none
III-11OD: CF @ 1 ft
OS: CF @ 1 ft
Peters anomaly
Partial hypoplastic irides
Foveal hypoplasiaOD: 20
OS: 15
Timolol
Glaucoma Dx @ 6 years
OD: none
OS: s/p trabeculectomy with mitomycin C × 2, s/p cyclophotocoagulation × 2
OD: s/p penetrating keratoplasty
OS: s/p ECCE, s/p superficial keratectomy, s/p penetrating keratoplasty
IV-6OD: 20/150
OS: 20/100
Corneal pannuses
Hypoplastic irides
Posterior subcapsular cataracts
Foveal hypoplasiaOD: unable
OS: unable
No glaucomaOD: none
OS: none

ECCE: extracapsular cataract extraction; IOL: intraocular lens; CF: counting fingers.