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儿童期青光眼:对遗传咨询的影响。

Childhood glaucoma: Implications for genetic counselling.

机构信息

Department of Ophthalmology, Flinders University, Adelaide, South Australia, Australia.

出版信息

Clin Genet. 2024 Nov;106(5):545-563. doi: 10.1111/cge.14603. Epub 2024 Aug 29.

Abstract

Childhood glaucoma is a heterogeneous group of ocular disorders defined by an age of onset from birth to 18 years. These vision-threatening disorders require early diagnosis, timely treatment, and lifelong management to maintain vision and minimise irreversible blindness. The genetics of childhood glaucoma is complex with both phenotypic and genetic heterogeneity. The purpose of this review is to summarise the different types of childhood glaucoma and their genetic architecture to aid in the genetic counselling process with patients and their families. We provide an overview of associated syndromes and discuss implications for genetic counselling, including genetic testing strategies, cascade genetic testing, and reproductive options.

摘要

儿童青光眼是一组异质性的眼部疾病,其发病年龄从出生到 18 岁不等。这些威胁视力的疾病需要早期诊断、及时治疗和终身管理,以维持视力并最大程度地减少不可逆转的失明。儿童青光眼的遗传具有表型和遗传异质性。本综述的目的是总结不同类型的儿童青光眼及其遗传结构,以帮助患者及其家属进行遗传咨询。我们提供了相关综合征的概述,并讨论了遗传咨询的影响,包括基因检测策略、级联基因检测和生殖选择。

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