By R. J. Balkan
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Extra info for At the Crossing: Pediatric Ophthalmology And Strabismus (Noao Meeting Proceedings) (Noao Meeting Proceedings)
Ophthalmology 106(12):2362-2367, 1999 13. Kaiser-Kupfer M, Caruso R, Valle D: Gyrate atrophy of the choroid and retina: further experience with long-term reduction of ornithine levels in children. Arch Ophthalmol 120(2):146153, 2002 14. Jalali S, Das T, Majji A: Hypodermic needles: a new source of penetrating ocular trauma in Indian children. Retina 19(3):213-217, 1999 15. Rabiah P: Penetrating needle injury of the eye causing cataract in children [In Process Citation]. Ophthalmology 110(1):173-176, 2003 16.
May occur as Wilm’s tumor, aniridia, genitourinary abnormalities and mental retardation (WAGR) syndrome cortex subluxation of lenses, joint laxity, dilatation of aortic root. Differentiate from homocystinuria outside fetal nucleus family members with variable zonular opacities. Associated with seizures or tetany. Laboratory investigation for hypercalemia nuclear can be inflammatory. Secondary to maternal viral infection posterior subcapsule associated inflammatory signs, flare and cell. Investigate for juvenile rheumatoid arthritis (HLA-DRB1 association), Crohn’s disease, other sources of immune inflammation posterior capsule history, posterior capsular sheen diffuse history generalized cortical lens opacification only oil droplet appearance.
Failure to thrive, vomiting, enlarged liver and spleen 12/5/2003, 12:43 PM Etiology of pediatric cataracts 39 Table 4. Cont’d Type of opacity Inheritance Hyperferritinemia AD Diabetes mellitus AR Corticosteroids Myotonic dystrophy AD Neurofibromatosis II (Fig. 15) AD Retinal disease: Mitochondrial diseases Leber’s amaurosis AR Gyrate atrophy AR (Figs. 13, 14) Retinitis pigmentosa AD, AR, XLR Location Characteristics cortex crystals in lens cortex, elevated serum ferritin, normal iron levels cortex cataracts unusual before second decade, often ‘snow flake’ appearance posterior subcapsule also cortical opacities cortex polychromatic opacities posterior cortex second decade.