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Clinical Sciences

Recurrence of Corneal Dystrophy Resulting from an R124H Big-h3 Mutation After Phototherapeutic Keratectomy

Inoue, Tomoyuki M.D.; Watanabe, Hitoshi M.D.; Yamamoto, Shuji M.D.; Maeda, Naoyuki M.D.; Inoue, Yoshitsugu M.D.; Shimomura, Yoshikazu M.D.; Tano, Yasuo M.D.

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Purpose. The purpose of the study was to investigate the recurrence-free interval after phototherapeutic keratectomy (PTK) in patients with corneal dystrophies resulting from an Arg124His (R124H) mutation of the Big-h3 gene.

Methods. Patients with corneal dystrophy resulting from a genetically confirmed Big-h3 R124H mutation were examined with a slit lamp. The patients were divided into two groups on the basis of the mutation genotype, and the recurrence-free interval was analyzed.

Results. In the 4 eyes of 3 homozygous patients, the mean (± standard deviation [SD]) recurrence-free interval was 9.5 ± 3.1 months, whereas in the 7 eyes of 4 heterozygous patients it was 38.4 ± 6.2 months. The former interval was statistically shorter than the latter (Kaplan–Meier survival analysis with log-rank test, p = 0.004).

Conclusions. These results strongly suggest that the mutation genotype of Big-h3 gene determined the recurrence-free interval as well as the clinical picture after PTK. Therefore, PTK should be considered for patients with Big-h3 R124H corneal dystrophy, on the basis of the expected recurrence-free interval deduced from molecular analysis of the zygosity of the Big-h3 R124H mutation.

© 2002 Lippincott Williams & Wilkins, Inc.


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