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Corneal Dystrophies of Epithelial Genesis
The Possible Therapeutic Use of Limbal Stem Cell Transplantation
Arch Ophthalmol. 2001;119:120-122.
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PATHOPHYSIOLOGY OF CORNEAL DYSTROPHIES OF EPITHELIAL GENESIS
Classification of the primary corneal dystrophies has until now been
based on biomicroscopic and pathologic features. Depending on the location
of dystrophic deposits, the main anatomic groupings have been epithelial and
subepithelial dystrophies, dystrophies primarily affecting the Bowman layer,
stromal dystrophies, and endothelial dystrophies.
Recent advances in our understanding of the molecular genetics and pathophysiology
of certain corneal dystrophies proffer a paradigm shift regarding the classification
of these disorders. The greatest strides have occurred in the study of stromal
corneal dystrophies. In 1994, Stone et al1
mapped the genetic defect in 2 families with granular dystrophy, 2 families
with lattice dystrophy, and 4 families with Avellino dystrophy to chromosome
5q. Subsequently, Munier et al2 refined the
location to chromosome 5q.31 for families with granular, lattice, Avellino,
and Reis-Bucklers dystrophy, and isolated the candidate gene BIGH3 (the transforming growth factor induced gene). Since
then, mutations in this gene have been shown . . . [Full Text of this Article] CURRENT THERAPIES
POTENTIAL THERAPIES
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Epithelial Origin of "Stromal" Corneal Dystrophies
Witschel et al.
Arch Ophthalmol 2002;120:101-101.
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