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Features include sometimes findings: Ectopia lentis. 4 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 2 | Cloudy or opaque cornea (corneal opacity), Primary congenital glaucoma |
Pregnancy and birth |
LTBP2 encodes latent transforming growth factor beta binding protein 2 (1,821 aa). May play an integral structural role in elastic-fiber architectural organization and/or assembly Highest expression in Artery Aorta (706.6 TPM) and Artery Coronary (329.4 TPM).
Glaucoma 3, primary congenital, D is caused by mutations in the LTBP2 gene on chromosome 14.
The LTBP2 protein participates in LTBP1, LTBP3 bind TGF-Beta pathway.
LTBP2 is classified as a druggable target (Druggable Genome category) with score 0.0.
Primary congenital glaucoma (PCG) should be suspected in infants or children with the following clinical features:
Photophobia, blepharospasm, and excessive tearing
Edema and opacification of the cornea with rupture of Descemet's membrane, known as Haab's striae
Thinning of the anterior sclera and atrophy of the iris
No approved treatments are currently available for glaucoma 3, primary congenital, D. The disease remains an area of unmet medical need.
To establish the extent of disease and needs in an individual diagnosed with primary congenital glaucoma (PCG), examination under anesthesia or sedation is warranted to make a complete assessment of both eyes. The examination includes the following:
Lifelong monitoring is necessary to ensure control of IOP to preserve remaining vision and to prevent further loss of vision; the intervals at which monitoring needs to be performed vary depending on the severity of disease and control of IOP. Once IOP is controlled and the child is visually rehabilitated, follow up is typically every three months to keep IOP at the "target" level, which depends on the severity of the glaucomatous optic nerve damage and the age of the individual. Standard clinical follow-up tests include optic nerve photography and visual field testing. The complete ophthalmic evaluation often requires examination under anesthesia or sedation in infants and in young and uncooperative children. This process may be challenging to the individual, the family, and the treating physician .
No clinical trials have been registered for glaucoma 3, primary congenital, D.
5 publications have been identified in PubMed for glaucoma 3, primary congenital, D. Research spans Clinical Trial Publication (40%), Basic Science / Preclinical (40%), and Case Report / Case Series (20%).
Skálová N (2026). [PMID: 41996229](https://pubmed.ncbi.nlm.nih.gov/41996229/). *Cesk Slov Oftalmol*. [Clinical Trial Publication]
Zhang D (2025). [PMID: 40266593](https://pubmed.ncbi.nlm.nih.gov/40266593/). *Investigative ophthalmology & visual science*. [Basic Science / Preclinical]
Ruppert ADP (2025). [PMID: 40315799](https://pubmed.ncbi.nlm.nih.gov/40315799/). *Clinics (Sao Paulo, Brazil)*. [Clinical Trial Publication]
Torné O (2024). [PMID: 39432401](https://pubmed.ncbi.nlm.nih.gov/39432401/). *Investigative ophthalmology & visual science*. [Basic Science / Preclinical]
Bayoumi N (2024). [PMID: 38377874](https://pubmed.ncbi.nlm.nih.gov/38377874/). *Journal francais d'ophtalmologie*. [Case Report / Case Series]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 11:12 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
1
Primary congenital glaucoma |
Primary congenital glaucoma (PCG) is characterized by developmental defect(s) of the trabecular meshwork and anterior chamber angle that prevent adequate drainage of aqueous humor, resulting in elevated intraocular pressure (IOP) and stretching of the sclera that produces an enlarged globe (buphthalmos). The following information comes from the detailed clinical papers on PCG of and unless otherwise noted. By definition, congenital glaucoma is present at birth; it is typically diagnosed in the first year of life. PCG is more common in males (65%) and is bilateral in 70% of individuals. The clinical signs and symptoms depend primarily on the age of onset and the severity of the disease. The classic symptoms include tearing, photophobia, and irritability.
Source: GeneReviews — "Primary Congenital Glaucoma"
Walton and colleagues have shown that the phenotype can vary significantly in the same individual (one eye being more severely affected than the other) . CYP1B1. No consistent genotype-phenotype correlation has been observed for CYP1B1 pathogenic variants. Intra- and interfamilial variability is reported among individuals with identical CYP1B1 pathogenic variants . No information is available on correlation between the CYP1B1 pathogenic variants and the success of surgical therapy. LTBP2. No genotype-phenotype correlation has been observed for LTBP2 pathogenic variants. TEK. No genotype-phenotype correlation has been observed for TEK pathogenic variants.
Source: GeneReviews — "Primary Congenital Glaucoma"
Structurally normal posterior segment except for progressive optic atrophy
Absence of structural changes in the anterior chamber that are consistent with a diagnosis of anterior segment dysgenesis or associated systemic disease.
The diagnosis of PCG is established in a proband by the following clinical criteria:
Source: GeneReviews — "Primary Congenital Glaucoma"
A number of congenital ocular conditions can mimic PCG and must be considered by the clinician . For example, the nonspecific findings of tearing and redness of the eyes may mimic more common conditions such as conjunctivitis or congenital nasolacrimal duct obstruction; ocular irritation with photophobia and redness may mimic the more frequent problem of corneal abrasion. Congenital glaucoma can be subcategorized by age of onset into the following three types:
Source: GeneReviews — "Primary Congenital Glaucoma"
Genetic testing for LTBP2 is available. Testing is considered confirmatory for diagnosis.
Measurement of corneal diameter
Examination of the anterior segment
Direct gonioscopy to rule out secondary glaucoma
Dilated fundus examination to evaluate for optic nerve damage
If the cornea is opaque, ultrasound biomicroscopy or optical coherence tomography to aid in evaluating the anterior segment structures
Measurement of axial length
If the child is examined under anesthesia, consent may be obtained to perform the appropriate surgical procedure after evaluation under anesthesia. Consultation with a clinical geneticist and/or genetic counselor is recommended.
The primary goal of treatment is to decrease IOP to prevent vision-threatening complications including corneal opacification and glaucomatous optic atrophy. Early treatment to control IOP will reverse some of these complications in children. A Cochcrane review analyzed the literature that addressed the surgical management of congenital glaucoma but could not draw any conclusions from the analysis . Surgical treatment. The following approach is based on the work of , , , , and . PCG is almost always managed surgically.
Source: GeneReviews — "Primary Congenital Glaucoma"
Alpha-2 agonists should be avoided in children in the treatment of elevated IOP because of the risk for apnea and bradycardia.
Source: GeneReviews — "Primary Congenital Glaucoma"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Primary Congenital Glaucoma"
View trials for glaucoma 3, primary congenital, D
Source: GeneReviews — "Primary Congenital Glaucoma"