Case Report: Identification of a CRYGD variant in a family with congenital cataract - Report - MDSpire

Case Report: Identification of a CRYGD variant in a family with congenital cataract

  • By

  • Junjie Deng

  • Jianli Ma

  • Yixiao Li

  • Wenjing Wang

  • Chunli Ma

  • Mengxue Li

  • Yaqin Jiang

  • Han Zhang

  • June 10, 2026

  • 0 min

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Clinical Report: Discovery of a CRYGD Variant Linked to Congenital Cataract

Overview

This report describes a family with congenital cataract linked to a CRYGD variant, specifically c.391T>C (p.Trp131Arg). The variant was found to co-segregate with the disease phenotype in affected family members, although it remains classified as a variant of uncertain significance.

Background

Congenital cataract is a significant cause of childhood visual impairment, with genetic factors playing a crucial role in its etiology. The identification of pathogenic variants is essential for accurate diagnosis and genetic counseling. This case highlights the importance of whole-exome sequencing in uncovering genetic causes of congenital cataract.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • A CRYGD c.391T>C (p.Trp131Arg) variant was identified in a boy with congenital cataract.
  • The variant co-segregated with the disease phenotype in affected family members.
  • Other variants identified by WES showed less consistent segregation patterns.
  • The CRYGD variant is classified as a variant of uncertain significance according to ACMG criteria.
  • CRYGD exhibits lens-enriched expression, supporting its role in lens biology.

Clinical Implications

The findings underscore the utility of whole-exome sequencing in identifying genetic variants associated with congenital cataract. Genetic counseling may be informed by the segregation patterns of identified variants within families.

Conclusion

This case contributes to the understanding of genetic factors in congenital cataract and highlights the need for further functional studies to clarify the pathogenic significance of the identified CRYGD variant.

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  4. Pediatric Eye Evaluations Preferred Practice Pattern - Ophthalmology, 2022
  5. Identification of mutations associated with congenital cataracts in nineteen Chinese families | BMC Ophthalmology | Springer Nature Link, 2025
  6. Frontiers in Endocrinology — Case Report: A novel likely pathogenic GCK variant in a young Chinese girl with severe insulin resistance
  7. Current clinical guidance on congenital cataract
  8. Identification of mutations associated with congenital cataracts in nineteen Chinese families | BMC Ophthalmology | Springer Nature Link
  9. Glaucoma-Related Adverse Events at 10 Years in the Infant Aphakia Treatment Study: A Secondary Analysis of a Randomized Clinical Trial - PMC

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