Telfer–Sugar–Jaeger syndrome

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Telfer–Sugar–Jaeger syndrome is a rare genetic disorder characterized by a combination of symptoms primarily affecting the eyes, specifically the cornea. This syndrome is named after the researchers who first described it. The hallmark of Telfer–Sugar–Jaeger syndrome is the development of peculiar corneal changes, which can significantly impact vision. This article provides an overview of the syndrome, including its symptoms, causes, diagnosis, and treatment options.

Symptoms[edit | edit source]

The primary symptom of Telfer–Sugar–Jaeger syndrome is the progressive deterioration of the cornea, the transparent front part of the eye that covers the iris, pupil, and anterior chamber. Individuals with this syndrome may experience a range of visual disturbances, including reduced visual acuity, photophobia (sensitivity to light), and in some cases, blindness. The corneal changes are distinctive, often starting in childhood or adolescence, and can include thickening, opacification, and the development of corneal dystrophy.

Causes[edit | edit source]

Telfer–Sugar–Jaeger syndrome is believed to be a genetic condition, although the specific genetic mutations responsible for its manifestation have not been fully identified. It is thought to follow an autosomal dominant inheritance pattern, meaning that only one copy of the altered gene in each cell is sufficient to cause the disorder. However, cases have been reported where there is no known family history of the syndrome, suggesting the possibility of spontaneous mutations.

Diagnosis[edit | edit source]

Diagnosis of Telfer–Sugar–Jaeger syndrome is primarily based on clinical examination and the patient's medical history. Detailed eye examinations, including slit lamp examination, can reveal characteristic corneal changes. Genetic testing may be helpful in confirming the diagnosis, especially in cases where the family history is known.

Treatment[edit | edit source]

There is no cure for Telfer–Sugar–Jaeger syndrome, and treatment is focused on managing symptoms and preventing complications. In the early stages, visual disturbances may be corrected with glasses or contact lenses. As the disease progresses, more invasive treatments may be necessary. Corneal transplantation has been successful in restoring vision in some cases, although the risk of transplant rejection can be higher in individuals with this syndrome.

Prognosis[edit | edit source]

The prognosis for individuals with Telfer–Sugar–Jaeger syndrome varies depending on the severity of the corneal changes and the success of treatment interventions. Early diagnosis and management are crucial in preserving vision and improving the quality of life for those affected by the syndrome.

Telfer–Sugar–Jaeger syndrome Resources
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Contributors: Prab R. Tumpati, MD