TAILIEUCHUNG - Ebook Color atlas & synopsis of clinical ophthalmology pediatric ophthalmology (2/E): Part 2

(BQ) Part 2 book “Color atlas & synopsis of clinical ophthalmology pediatric ophthalmology” has contents: Congenital abnormalities of the optic nerve, retinal anomalies, eyelid anomalies, lacrimal anomalies, strabismus disorders. | CHAPTER 7 Congenital Abnormalities of the Optic Nerve Aldo Vagge and Leonard B. Nelson ■ OPTIC NERVE HYPOPLASIA Optic nerve hypoplasia (ONH) is a congenital, nonprogressive developmental abnormality in which the optic nerve is smaller than usual because of reduced numbers of retinal ganglion cells. It is frequently associated with other central nervous system (CNS) abnormalities. ONH may be unilateral or bilateral (80%) and may be asymmetric. Most common congenital optic disc anomaly Optic nerve aplasia is rare. No pupillary light reflex and absence of the optic disc, nerve fiber layer, and retinal blood vessels on examination. Etiology Not completely understood Parental drug and alcohol abuse contributes to an increasing prevalence of ONH. Drug associations include exposure to carbemazepine, isotretinoin, phenytoin, quinine, and valproic acid. Young maternal age and maternal insulin-dependent diabetes have also been implicated in some cases (associated with subtype—superior segmental optic hypoplasia). Genetics Most cases are sporadic. Bilateral ONH is inherited in an autosomal-dominant pattern based on the few families reported. Mutation in the PAX6 (11q13) gene is responsible. Mutation in the HESX1 gene has been identified in sporadic septo-opto dysplasia and pituitary disease. Mutation in the TUBA8 gene is associated with polymicrogyria and ONH. Symptoms Decreased vision in one or both eyes Strabismus may be associated with unilateral ONH. Signs Range of visual acuity is 20/20 to no light perception since vision is determined primarily by the integrity of the papillomacular nerve fibers more than the overall size of the disc. Amblyopia as a result of accompanying strabismus and anisometropia Nystagmus: often develops at 1 to 3 months of age in bilateral cases Strabismus may be associated with unilateral ONH. Afferent pupil defect in asymmetric or unilateral cases Visual fields (VFs) often have localized defects as well as general constriction. Abnormally .

TỪ KHÓA LIÊN QUAN
TAILIEUCHUNG - Chia sẻ tài liệu không giới hạn
Địa chỉ : 444 Hoang Hoa Tham, Hanoi, Viet Nam
Website : tailieuchung.com
Email : tailieuchung20@gmail.com
Tailieuchung.com là thư viện tài liệu trực tuyến, nơi chia sẽ trao đổi hàng triệu tài liệu như luận văn đồ án, sách, giáo trình, đề thi.
Chúng tôi không chịu trách nhiệm liên quan đến các vấn đề bản quyền nội dung tài liệu được thành viên tự nguyện đăng tải lên, nếu phát hiện thấy tài liệu xấu hoặc tài liệu có bản quyền xin hãy email cho chúng tôi.
Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.