# Congenital Aphakia Associated With a GJA8 Pathogenic Variant: A Case Report

**Authors:** Sarah A. M. Lucas, Elena Franco, Hannah L. Scanga, Nathan L. Clark, Ken K. Nischal

PMC · DOI: 10.1002/ccr3.70286 · 2025-05-05

## TL;DR

This case report describes a rare eye condition caused by a genetic variant in GJA8, expanding the known genetic causes of congenital aphakia.

## Contribution

The report highlights the importance of including GJA8 in genetic testing for congenital aphakia.

## Key findings

- Congenital aphakia can be caused by a pathogenic variant in the GJA8 gene.
- Including GJA8 in genetic testing improves diagnosis for patients with this condition.

## Abstract

Congenital aphakia is a rare eye condition in which the lens fails to form properly. It is typically caused by pathogenic variants within the FOXE3 or HCCS genes; however, it can also be associated with GJA8 pathogenic variants. GJA8 should be included in the genetic testing of patients with this condition.

## Linked entities

- **Genes:** GJA8 (gap junction protein alpha 8) [NCBI Gene 2703], FOXE3 (forkhead box E3) [NCBI Gene 2301], HCCS (holocytochrome c synthase) [NCBI Gene 3052]
- **Diseases:** congenital aphakia (MONDO:0012456)

## Full-text entities

- **Genes:** GJA8 (gap junction protein alpha 8) [NCBI Gene 2703] {aka CAE, CAE1, CTRCT1, CX50, CZP1, MP70}, FOXE3 (forkhead box E3) [NCBI Gene 2301] {aka AAT11, ASGD2, CATC3, CTRCT34, FKHL12, FREAC8}, HCCS (holocytochrome c synthase) [NCBI Gene 3052] {aka CCHL, LSDMCA1, MCOPS7, MLS}
- **Diseases:** Congenital Aphakia (MESH:C537786)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12053145/full.md

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Source: https://tomesphere.com/paper/PMC12053145