Cataracts are the leading cause of blindness in most countries. Although mo
st hereditary cases appear to follow an autosomal dominant pattern of inher
itance, autosomal recessive inheritance has been clearly documented and is
probably underrecognized. We studied a large family-from a relatively isola
ted geographic region-whose members were affected by autosomal recessive ad
ult-onset pulverulent cataracts. We mapped the disease locus to a 14-cM int
erval at a novel disease locus, 9q13-q22 (between markers D9S1123 and D9S25
7), with a LOD score of 4.7. The study of this progressive and age-related
cataract phenotype may provide insight into the cause of the more common sp
oradic form of age-related cataracts.