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  Vol. 110 No. 4, April 1992 TABLE OF CONTENTS
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The Marfan Syndrome Is Caused by a Point Mutation in the Fibrillin Gene

Irene H. Maumenee, MD

Arch Ophthalmol. 1992;110(4):472-473.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In 1896, Marfan1 described the syndrome that would come to bear his name in a 51/2-year-old girl with severe connective tissue disease. Her condition was not unlike that seen in two young girls whose identical mutations of the fibrillin type 1 gene were recently described by Dietz et al.2 In these two unrelated, sporadic cases of the Marfan syndrome, the diagnosis was suspected at birth because of severe arachnodactyly, lack of subcutaneous fat, and typical facial appearance. The patients were first seen at ages 4 and 21/2 years for an ocular evaluation, and both had microspherophakia with marked iridodonesis, but the lenses were in the pupillary axis. Both girls had myopia ( – 31.00 OD and –30.00 OS in one, and – 18.00 OD and –16.50 OS in the other). Axial length measurements were 26.4 mm OD and 26.4 mm OS, and 23.9 mm OD and 23.2 mm OS . . . [Full Text PDF of this Article]


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Baltimore, Md



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