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Ectopic fovea

MedGen UID:
927614
Concept ID:
C4293705
Anatomical Abnormality
Synonym: Ectopic macula
 
HPO: HP:0025007

Definition

An abnormal anatomic position of the fovea, the small, central pit composed of closely packed cones that is located in the macula of the retina. [from HPO]

Term Hierarchy

Conditions with this feature

Exudative vitreoretinopathy 1
MedGen UID:
343561
Concept ID:
C1851402
Disease or Syndrome
Familial exudative vitreoretinopathy (FEVR) is an inherited disorder characterized by the incomplete development of the retinal vasculature. Its clinical appearance varies considerably, even within families, with severely affected patients often registered as blind during infancy, whereas mildly affected patients with few or no visual problems may have such a small area of avascularity in their peripheral retina that it is visible only by fluorescein angiography. It is believed that this peripheral avascularity is the primary anomaly in FEVR and results from defective retinal angiogenesis. The sight-threatening features of the FEVR phenotype are considered secondary to retinal avascularity and develop because of the resulting retinal ischemia; they include the development of hyperpermeable blood vessels, neovascularization, vitreoretinal traction, retinal folds, and retinal detachments (summary by Poulter et al., 2010). In 31 Chinese pedigrees clinically diagnosed with FEVR, Rao et al. (2017) analyzed 6 FEVR-associated genes and identified mutations in 12 of the probands, including 5 (16.1%) in LRP5, 3 (9.7%) in NDP, 2 (6.5%) in FZD4, and 1 (3.2%) in TSPAN12. In addition, a mutation in the KIF11 gene (148760) was identified in a patient who also exhibited microcephaly (MCLMR; 152950). The authors noted that their detection rate did not exceed 50%, suggesting that other FEVR-associated genes remained to be discovered. Genetic Heterogeneity of Familial Exudative Vitreoretinopathy Also see EVR2 (305390), caused by mutation in the NDP gene (300658) on chromosome Xp11; EVR3 (605750), mapped to 11p13-p12; EVR4 (601813), caused by mutations in the LRP5 gene (603506) on 11q13.4; EVR5 (613310), caused by mutation in the TSPAN12 gene (613138) on 7q31; EVR6 (616468), caused by mutation in the ZNF408 gene (616454) on 11p11; and EVR7 (617572), caused by mutation in the CTNNB1 gene (116806) on chromosome 3p22.

Recent clinical studies

Etiology

Hwang JM, Wright KW
Korean J Ophthalmol 1994 Dec;8(2):83-91. doi: 10.3341/kjo.1994.8.2.83. PMID: 7853737

Diagnosis

Fabian ID, Spierer A, Berger Y, Ben-Zion I
J AAPOS 2012 Dec;16(6):575-6. doi: 10.1016/j.jaapos.2012.07.006. PMID: 23237756

Prognosis

Meredith SP, Richards AJ, Flanagan DW, Scott JD, Poulson AV, Snead MP
Br J Ophthalmol 2007 May;91(5):655-9. Epub 2006 Oct 11 doi: 10.1136/bjo.2006.104406. PMID: 17035272Free PMC Article

Clinical prediction guides

Miyamoto T, Inoue H, Sakamoto Y, Kudo E, Naito T, Mikawa T, Mikawa Y, Isashiki Y, Osabe D, Shinohara S, Shiota H, Itakura M
Invest Ophthalmol Vis Sci 2005 Aug;46(8):2726-35. doi: 10.1167/iovs.05-0057. PMID: 16043844

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