“…8,10,11 On the basis of studies reporting significant linkage of FECD, several pathogenic mutations in the collagen type VIII a2 gene (COL8A2), located on 1p34.3-p32, have been detected in affected individuals with FECD, and a strong association between FECD patients and genetic variants of COL8A2 has been validated by multiple studies. [6][7][8]12 In particular, two missense mutations, L450W and Q455K, showed perfect concordance in an FECD family having early onset and are positioned within the triple-helical domain of a2 collagen type VIII, which leads to the structural alteration of Descemet's membrane. 6,8,13,14 Also, in English FECD patients, three missense mutations of the COL8A2 gene, R155Q, R304Q, and R434H, were identified in familial and unrelated forms of common FECD, 8 whereas Aldave et al (2006) and Kobayashi et al (2004) reported that no COL8A2 variants associated with the common FECD subtype, late-onset FECD have been identified.…”