RT Book, Section A1 Bateman, Bronwyn A1 Roarty, John A1 Butera, Christina L. A1 Levin, Alex V. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7060315 T1 Chapter 592. Genetic Eye Diseases T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7060315 RD 2024/04/24 AB The development of techniques for identifying the genetic bases for disease has resulted in an increase in the understanding of eye diseases. The prevalence of genetic disease as a basis for significant visual loss is uncertain and dependent on the population, health care resources, and cultural values. Genetic factors may influence normal, stable development of the eye but may cause a progressive deterioration over time. Although a specific mutation of a gene may result in a consistent phenotype, variation is common and may reflect the effect of other genes or environmental factors. Complex diseases, such as myopia and strabismus, probably have both genetic and environmental bases. Population-based studies may be influenced by ascertainment bias, inconsistent data collection, or cultural factors. Autosomal recessive disorders are more common in consanguineous cultures such as occur in the Middle East or Asia. Other disorders, such as the group of diseases called retinitis pigmentosa, have a more uniform geographic prevalence rate of 20 to 40 per 100,000 worldwide. With the completion of the Human Genome Project (http://www.ornl.gov/sci/techresources/Human_Genome/home.shtml) and the rapid development of improved analytical tools, a new understanding of the genetic bases of eye diseases offers the hope of understanding causes and identifying cures.