Oculopharyngeal muscular dystrophy (OPMD) is a rare genetic disorder characterized by progressive muscle weakness and wasting. It primarily affects the muscles of the eyes (oculo-), throat (pharyngeal), and sometimes other muscles in the body. OPMD is also known by several other names, including:
OPMD is caused by mutations in the PABPN1 gene, which provides instructions for producing a protein called poly(A)-binding protein nuclear 1. These mutations lead to the formation of abnormal protein clumps within muscle cells, disrupting their normal function and causing muscle weakness.
The symptoms of OPMD typically appear in adulthood, usually between the ages of 40 and 60. Initial signs may include drooping eyelids, difficulty swallowing, and weakness in the muscles of the face, neck, and shoulders. As the disease progresses, individuals may experience more severe swallowing difficulties, voice changes, and generalized muscle weakness.
While there is currently no cure for OPMD, treatment focuses on managing symptoms and improving quality of life. This may involve speech therapy, dietary modifications, and surgical interventions to address swallowing difficulties. Regular monitoring and support from a multidisciplinary healthcare team can help individuals with OPMD manage their condition effectively.