Considerations in multi-gene panel testing in pediatric ophthalmology

J AAPOS. 2019 Jun;23(3):163-165.e1. doi: 10.1016/j.jaapos.2019.01.008. Epub 2019 Feb 12.

Abstract

Multi-gene panel testing is used increasingly in ophthalmology practice as an efficient and cost-effective method for diagnosing inherited eye conditions. Panel testing is a powerful diagnostic tool, and it has the potential to reveal syndromic information in patients with seemingly isolated eye findings. This case series highlights our experience with 4 children in 3 families who were referred for evaluation of an isolated retinal degeneration and diagnosed with neuronal ceroid lipofuscinosis on panel testing. These cases are important reminders that several neurodegenerative conditions can present initially with isolated eye findings in childhood and pretest genetic counseling is critical.

Publication types

  • Case Reports
  • Research Support, N.I.H., Intramural

MeSH terms

  • Child
  • DNA Mutational Analysis
  • Electroretinography
  • Female
  • Humans
  • Male
  • Membrane Glycoproteins / genetics*
  • Membrane Glycoproteins / metabolism
  • Molecular Chaperones / genetics*
  • Molecular Chaperones / metabolism
  • Mutation*
  • Neuronal Ceroid-Lipofuscinoses / complications*
  • Neuronal Ceroid-Lipofuscinoses / diagnosis
  • Neuronal Ceroid-Lipofuscinoses / genetics
  • Pedigree
  • Retina / pathology*
  • Retinal Degeneration / diagnosis
  • Retinal Degeneration / etiology
  • Retinal Degeneration / genetics*
  • Tomography, Optical Coherence

Substances

  • CLN3 protein, human
  • Membrane Glycoproteins
  • Molecular Chaperones