摘要家族性渗出性玻璃体视网膜病变(FEVR)是一种遗传性视网膜血管发育异常疾病.目前为止发现有6个基因与其病变相关,分别是Wnt受体卷曲蛋白4、Norrie病、共受体低密度脂蛋白受体相关蛋白5、四旋蛋白12、锌指蛋白408、驱动蛋白家族成员11基因.其临床表现、病变过程及遗传方式均呈多样性,且表现出基因多态性与临床表现多样性的相互关系.表现为同一个体、同一家系、同一基因突变之间不同症状;父母双方或单方遗传患儿不同临床分期及基因突变类型;足月儿和早产儿FEVR不同的临床特征和基因突变方式;合并其他眼部疾病和全身疾病的FEVR;双基因突变和单基因突变不同临床表现及基因突变特点.全面认识FEVR的不同临床表现及多样遗传方式,可为FEVR的治疗提供更好地指导.

abstractsFamilial exudative vitreoretinopathy (FEVR) is a hereditary retinal vascular dysplasia. So far, 6 genes have been found to be associated with FEVR: Wnt receptor Frizzled Protein 4, Norrie's disease, co-receptor low-density lipoprotein receptor-related protein 5, tetraspanin 12, zinc finger protein 408, and kinesin family members 11 genes. Its clinical manifestations, pathological processes and genetic patterns are diverse, and it shows the relationship between gene polymorphism and clinical manifestation diversity. It is characterized by different symptoms between the same individual, the same family, and the same gene mutation; different clinical stages and gene mutation types of parents or unilateral genetic children; different clinical characteristics and gene mutation patterns of full-term and premature infant; combined with other eye disease and systemic diseases;double gene mutations and single gene mutations have different clinical manifestations and gene mutation characteristics. A comprehensive understanding of the different clinical manifestations and diverse genetics of FEVR can provide better guidance for the treatment of FEVR.