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高度近视伴色觉缺失的家系分析
引用本文:Nezih Durmazlar,Koray Gümüs,Zerrin Yilmaz.高度近视伴色觉缺失的家系分析[J].国际眼科杂志,2007,7(3):602-608.
作者姓名:Nezih Durmazlar  Koray Gümüs  Zerrin Yilmaz
作者单位:1. 土耳其安卡拉,Baskent大学医学院生理科
2. Atatürk教研医院眼科
3. Hacettepe大学医学院生理科
4. Hacettepe大学医学院眼科
5. 土耳其安卡拉,Baskent大学医学院医学遗传科
6. Hacettepe大学医学院病理科
基金项目:We wish to thank Ethical Committe of Hacettepe University Medical Faculty,to our proband and to all of the members of his family for their kind cooperation.This study was partly supported by Hacettepe University Research Institute Grant 01 01 101 014.
摘    要:目的:评估高度近视伴色觉缺失患者的遗传学特征和临床表现方法:就同一家族4代42个成员中有8位患者给予了详细的眼科检查,Ishihara盘和FM100H试验检测患者有无红绿色觉缺失,全视野视网膜电图评价其视网膜功能.结果:患者8位均因高度近视视力下降,其中6例有红绿色觉缺失,眼底检查显示以弥漫性视网膜脉络膜萎缩为特征的近视改变.2例患者ERG检查出现视杆细胞的暗适应异常和视锥细胞的反应消失,根据家系,红绿色觉缺失属X连锁的隐性遗传.结论:在这个家族成员中,同时发生的高度近视和色觉缺失可能有共同的遗传学基础.

关 键 词:高度近视  色觉缺失  先天性色盲  high  myopia  colour  vision  deficiency  congenital  colour  blindness  高度近视  色觉  家系分析  deficiency  vision  colour  associated  myopia  High  report  concurrence  show  evidence  basis  different  disorders  inheritance  family  pedigree  Abnormal  cone
修稿时间:2007-03-222007-05-25

High myopia associated with colour vision deficiency:a family report
Nimet nay Gündogan,Aye Gül Koak Altinta,Nezih Durmazlar,Koray Gümüs,Zerrin Yilmaz,Kemal Ksemehmetolu.High myopia associated with colour vision deficiency:a family report[J].International Journal of Ophthalmology,2007,7(3):602-608.
Authors:Nimet nay Gündogan  Aye Gül Koak Altinta  Nezih Durmazlar  Koray Gümüs  Zerrin Yilmaz  Kemal Ksemehmetolu
Institution:1 Baskent University, Faculty of Medicine, Department of Physiology, Ankara, Turkey; 2Atatük Research Hospital, Clinics of Ophthalmology, Ankara, Turkey ;3Hacettepe University, Faculty of Medicine, Department of Physiology, Ankara, Turkey; 4Hacettepe University, Faculty of Medicine, Department of Ophthalmology, Ankara, Turkey ;5Baskent University, Faculty of Medicine, Department of Medical Genetics, Ankara, Turkey ;6Hacettepe University, Faculty of Medicine, Department of Pathology, Ankara, Turkey
Abstract:AIM:To evaluate genetic characteristics and clinical findings in a family with high myopia and colour vision deficiency(CVD) .METHOD:Eight affected subjects of 42 members in four generations of the same family underwent a complete ophthalmic examination.Classical and computer adapted Ishihara Plates and Farnsworth-Munsell 100 Hue(FM100H) tests were used for determining the red-green CVD and full-field electroretinography(ERG) was performed to evaluate retinal function.RESULTS:Eight affected subjects had subnormal visual acuity due to high myopia.The results of colour vision tests were consistent with red-green CVD in six of these affected subjects.Fundus examination showed degenerative myopic changes characterized with generalized chorioretinal atrophy.Abnormal cone and rod dark-adaptation and diminished cone response in ERG were found in two subjects.According to family pedigree,it has been suggested that red-green CVD has X-linked recessive inheritance.CONCLUSION:The concurrence of high myopia with CVD in the members of this family may show a possible evidence for an associate genetic basis on different disorders.
Keywords:high myopia  colour vision deficiency  congenital colour blindness
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