Total aniridia was found in a 2-month-old baby boy. Otherwise the baby
was healthy. Ophthalmological examination of the elder sister, parent
s and paternal grandparents revealed no abnormalities. There was no co
nsanguinity between the parents. Hence, the aniridia was considered sp
oradic, and the possibility of Wilms' tumour had to be taken into cons
ideration. The chromosomes of the baby were normal, as judged by conve
ntional cytogenetic analysis. In addition, DNA analysis demonstrated t
hat there was no subchromosomal deletion in band 11p13, spanning the a
niridia-Wilms' tumour region. Therefore, we conclude that the genetic
defect leading to aniridia is confined to the aniridia locus and that
the child has no increased risk of developing Wilms' tumour.