The ocular manifestations in Fabry's disease

Arch Ophthalmol. 1979 Apr;97(4):671-6. doi: 10.1001/archopht.1979.01020010327008.

Abstract

We present the ocular manifestations in a series of 37 hemizygous male and 25 heterozygous female patients with Fabry's disease. The ocular findings typically do not impair vision, but are unique and diagnostic. Whorl-like corneal deposits were seen in almost all patients and were more severe in the heterozygotes. The lens showed cream-colored anterior capsular deposits, sometimes in striking "propeller" distribution, in one third of the hemizygotes, and in none of the heterozygotes. A faint but unique posterior capsular opacity with a branching radial pattern was seen in 37% of the hemizygotes and 14% of the heterozygotes. Conjunctival vessel aneurysmal dilations and retinal vessel tortuosity were both more frequent and severe in the hemizygotes. Severe visual loss occurred in two hemizygotes as a result of unilateral total central artery occlusions.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Cornea / pathology
  • Corneal Diseases / etiology
  • Corneal Diseases / pathology
  • Eye / pathology*
  • Eye Diseases / etiology*
  • Fabry Disease / complications*
  • Female
  • Humans
  • Infant
  • Lens Diseases / etiology
  • Lens Diseases / pathology
  • Lens, Crystalline / pathology
  • Male
  • Middle Aged
  • Retina / pathology
  • Retinal Diseases / etiology
  • Retinal Diseases / pathology