Ocular characteristics of a 6-year-Old boy with molybdenum cofactor deficiency type B

Wenjia Yan1, Li Huang1, Limei Sun1

  • 1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, 510000, China.

Insights

Molybdenum cofactor deficiency (MoCD) is a rare genetic disorder. This case highlights novel ocular findings in a child with MoCD, emphasizing the importance of ophthalmic exams for early diagnosis.

Area of Science:

  • Genetics
  • Ophthalmology
  • Metabolic disorders

Background:

  • Molybdenum cofactor deficiency (MoCD) is a rare, often overlooked genetic disorder.
  • Early diagnosis is crucial for managing MoCD and its associated complications.

Observation:

  • A 6-year-old boy presented with conjunctival hyperemia and left eye pain.
  • He had a history of refractory seizures, global developmental delay, microcephaly, feeding difficulties, aphasia, and spastic quadriplegia.
  • Pathogenic MOCS2 mutations confirmed the diagnosis of MoCD.

Findings:

  • Detailed ocular manifestations of late-onset MoCD-B included bilateral ectopia lentis and spherophakia.
  • Left eye findings included hyperemia, secondary glaucoma, cyclodialysis, and retinal detachment.

Implications:

  • Ophthalmic examinations can reveal critical signs for the early diagnosis of MoCD.
  • This case expands the understanding of MoCD's ocular manifestations and its clinical spectrum.
Abstract

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