familial exudative vitreoretinopathy type 1; autosomal dominant familial exudative vitreoretinopathy
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Pathology
- disorder of the retinal vasculature
- abrupt cessation of growth of peripheral capillaries, leading to an avascular peripheral retina
- compensatory retinal neovascularization, which is thought to be induced by hypoxia from the initial avascular insult
- new vessels are prone to leakage & rupture causing exudates & bleeding, followed by scarring, retinal detachment & blindness
Genetics
- autosomal dominant
- associated with defects in FZD4
Clinical manifestations
- clinical features can be highly variable, even within the same family
- patients with mild forms of the disease are asymptomatic, & their only disease-related abnormality is an arc of avascular retina in the extreme temporal periphery