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Acta OphthalmolSeptember 20250 citations

Congenital aniridia: European COST action ANIRIDIA-NET guidelines for diagnosis, management and care.

Romano Davide, Romano Vito, Daruich Alejandra, Ferrari Giulio, Robert Matthieu, Semeraro Francesco, Lagali Neil, Bremond-Gignac Dominique


AI Summary

European ANIRIDIA-NET created guidelines for congenital aniridia diagnosis, management, and care, offering a comprehensive resource to improve patient outcomes for this complex, rare ocular disorder.

Abstract

Congenital aniridia is a rare ocular disorder affecting the majority of eye structures and can be associated with systemic manifestations. The main visible phenotypic characteristic is the partial or complete absence of the iris; however, foveal hypoplasia is a more frequent and reliable clinical sign. Other ocular comorbidities are associated with the disease, such as cataract, keratopathy and optic nerve hypoplasia. Mutation in the PAX6 gene is the most common cause of congenital aniridia, but other causative mutations exist. The main ocular symptoms experienced by those with congenital aniridia are photophobia, glare, low visual acuity, dryness/irritation of the ocular surface and nystagmus. Management and follow-up of patients with congenital aniridia can be challenging due to the lack of effective therapeutic options and the complexity of ocular manifestations and outcomes. These guidelines for the diagnosis, management and care of congenital aniridia have been developed at the European level, thanks to ANIRIDIA-NET, based on a review of the scientific literature on clinical and molecular characterization, therapeutic options as well as non-medical approaches.


MeSH Terms

HumansAniridiaEuropeDisease ManagementPAX6 Transcription FactorPractice Guidelines as TopicMutationVisual Acuity

Key Concepts6

European COST action ANIRIDIA-NET developed guidelines for the diagnosis, management, and care of congenital aniridia based on a review of scientific literature covering clinical and molecular characterization, therapeutic options, and non-medical approaches.

MethodologyExpert OpinionReview of scientific literaturen=Not applicableCh28

Congenital aniridia is a rare ocular disorder affecting the majority of eye structures and can be associated with systemic manifestations.

DiagnosisReviewReview of scientific literaturen=Not applicableCh8

The main visible phenotypic characteristic of congenital aniridia is the partial or complete absence of the iris; however, foveal hypoplasia is a more frequent and reliable clinical sign.

DiagnosisReviewReview of scientific literaturen=Not applicableCh8

Other ocular comorbidities associated with congenital aniridia include cataract, keratopathy, and optic nerve hypoplasia.

DiagnosisReviewReview of scientific literaturen=Not applicableCh8

Mutation in the PAX6 gene is the most common cause of congenital aniridia, but other causative mutations exist.

MechanismReviewReview of scientific literaturen=Not applicableCh9

The main ocular symptoms experienced by those with congenital aniridia are photophobia, glare, low visual acuity, dryness/irritation of the ocular surface, and nystagmus.

DiagnosisReviewReview of scientific literaturen=Not applicableCh7

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