Abstract
AIMS/BACKGROUND: To identify an HLA association with pseudoexfoliation of the lens capsule to support the hypothesis that there is a genetic predisposition to pseudoexfoliation. A randomised trial would be ideal for establishing a relation but is more costly and time consuming to conduct. Case-control studies provide an alternative method of establishing a relation. METHODS: The study group comprised 128 subjects who presented to a major eye centre with pseudoexfoliation. Data from blood donors representative of the population of Ireland were used to form a control group. RESULTS: An HLA association with pseudoexfoliation is identified for 14 antigens. Eleven antigens (HLA A1, A33, B8, B47, B51, B53, B57, B62, DR3, DR12, and DR13) are significantly more common in the pseudoexfoliation group while three antigens (HLA B12, B17, and DR2) are significantly less common. Four HLA antigens are strongly associated, with odds ratios of over 7.5. CONCLUSION: The strength of this HLA association is supportive evidence for a genetic component to the development of pseudoexfoliation of the lens capsule.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bodmer W. F., Bodmer J. G. Evolution and function of the HLA system. Br Med Bull. 1978 Sep;34(3):309–316. doi: 10.1093/oxfordjournals.bmb.a071518. [DOI] [PubMed] [Google Scholar]
- Coffey M., Reidy A., Wormald R., Xian W. X., Wright L., Courtney P. Prevalence of glaucoma in the west of Ireland. Br J Ophthalmol. 1993 Jan;77(1):17–21. doi: 10.1136/bjo.77.1.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Eustace P., Joyce P. D., McAuliffe-Curtin D., Kirrane S. HLA antigens in the pseudoexfoliation syndrome. Trans Ophthalmol Soc U K. 1980;100(4):510–510. [PubMed] [Google Scholar]
- Forsius H. Exfoliation syndrome in various ethnic populations. Acta Ophthalmol Suppl. 1988;184:71–85. doi: 10.1111/j.1755-3768.1988.tb02633.x. [DOI] [PubMed] [Google Scholar]
- Madden J. G., Crowley M. J. Factors in the exfoliation syndrome. Br J Ophthalmol. 1982 Jul;66(7):432–437. doi: 10.1136/bjo.66.7.432. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Margo C. E., Trobe J. D., Shuster J. J. HLA and ophthalmic disease associations: a critical review and improved method for statistical analysis. Acta Ophthalmol (Copenh) 1982 Aug;60(4):533–546. doi: 10.1111/j.1755-3768.1982.tb00598.x. [DOI] [PubMed] [Google Scholar]
- Olivius E., Polland W. Histocompatibility (HLA) antigens in capsular glaucoma and simplex glaucoma. Acta Ophthalmol (Copenh) 1980 Jun;58(3):406–410. doi: 10.1111/j.1755-3768.1980.tb05740.x. [DOI] [PubMed] [Google Scholar]
- Rosenberg L. E., Kidd K. K. HLA and disease susceptibility: a primer. N Engl J Med. 1977 Nov 10;297(19):1060–1062. doi: 10.1056/NEJM197711102971909. [DOI] [PubMed] [Google Scholar]
- Slagsvold J. E., Nordhagen R. The HLA system in primary open angle glaucoma and in patients with pseudoexfoliation of the lens capsule (exfoliation or fibrillopathia epitheliocapsularis). Acta Ophthalmol (Copenh) 1980 Apr;58(2):188–192. doi: 10.1111/j.1755-3768.1980.tb05708.x. [DOI] [PubMed] [Google Scholar]
- Taylor H. R. Pseudoexfoliation, an environmental disease? Trans Ophthalmol Soc U K. 1979 Jul;99(2):302–307. [PubMed] [Google Scholar]