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Ординатура / Офтальмология / Английские материалы / Ocular Differential Diagnosis 7th edition_Roy_2002

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2. Congenital contractural arachnodactyly

3. Crouzon syndrome

4. Stickler syndrome

5. Treacher Collins syndrome

6. Tuberous sclerosis

7. Zellweger syndrome

ii.Chromosomal abnormalities

1. Deletions 4p, 4r, 11q, 13q, 18q, 18r, XO

2. Duplications 3q, 4p, 4q, 7q, 9p, 9q, 13q, 22q 3. Ring B syndrome

4. Triploidy

5. Trisomy 8, 9, 13, 17, 18, XXX, XYY

iii.Unknown cause

1. Amniogenic band syndrome (Streeter dysplasia)

2. Cat's-eye syndrome (Schmidâ??Fraccaro syndrome)

3. CHARGE (colomba, heart disease, atresia choanae, retarded growth and retarded growth development or central nervous system anomalies, genital hypoplasia, and ear anomalies, or deafness) syndrome

4. Dyscraniopygophalangea (Ullrich syndrome)

5. Facial-clefting syndromes

6. Frontonasal dysplasia (median cleft face syndrome)

7. Goldenhar syndrome (oculoauriculovertebral syndrome)

8. Hemifacial microsomia syndrome

9. Linear sebaceous nevus syndrome

10. Rubinsteinâ??Taybi syndrome

12. Noncolobomatous microphthalmia

A.X-linked

1. Andersonâ??Warburg syndrome

2. Forsiusâ??Eriksson syndrome (Aland disease)

3. Lowe syndrome (oculocerebrorenal syndrome)

B.Autosomal recessive

1. Cerebrooculofacioskeletal syndrome

2. Conradi syndrome

3. Cross syndrome

4. Diamondâ??Blackfan syndrome

5. Fanconi

6. Obesityâ??cerebralâ??ocular-skeletal anomalies syndrome

C.Autosomal dominant

1. Blatt syndrome

2. Gansslen syndrome

3. Hypomelanosis of Ito syndrome

P.222

4. Leri syndrome

5. Myotonic dystrophy

6. Rieger syndrome

D.Chromosomal abnormalities 1. Duplication 10q

2. Trisomy 21Q syndrome

3. Chromosome deletion Xp22.1

E.Unknown cause

1. Arachnoidal cyst

2. Gorlinâ??Chaudhryâ??Moss syndrome

3. Hallermanâ??Streiff syndrome

4. Hutchinsonâ??Gilford syndrome (progeria)

5. Krause syndrome (encephaloophthalmic)

6. Meyerâ??Schwickerath and Weyers syndrome

7. Pierre Robin syndrome

8. Retinal disinsertion syndrome

9. Sabinâ??Feldman syndrome

10. Weyers syndrome

F.Infectious etiology

1. Congenital rubella (Gregg syndrome)

2. Congenital spherocytic anemia

3. Congenital toxoplasmosis

4. Cytomegalovirus

5. Epsteinâ??Barr syndrome

6. Herpes virus

7. Mumps

8. Varicella

G.Intoxicants

1. Fetal alcohol effects

2. Maternal phenylketonuria fetal effects

13. Idiopathic

14. Nanophthalmos

Eng A, et al. Linear facial skin defects associated with microphthalmia and other malformations, with chromosome deletion Xp22.1. J Am Acad Dermatol 1994;31:680â??682.Bibliographic Links

McKusick VA. Mendelian inheritance in man, 12th ed. Baltimore: Johns Hopkins University Press, 1998.

Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams

& Wilkins, 2002.

Buphthalmos (Large Globe)

Buphthalmos usually is associated with corneal abnormalities such as opacities and rupture of Descemet membrane; the transition from cornea to sclera is unclear, and a thin, bluish sclera may be present.

1. Associated with anterior chamber cleavage syndrome (Reeseâ??Ellsworth syndrome) 2. Autosomal recessive inheritance

3. Cerebrohepatorenal syndrome (Smithâ??Lemliâ??Opitz syndrome)

4. Chondrodystrophia calcificans congenita (Conradi syndrome)

5. Congenital glaucoma

6. Congenital rubella syndrome (Gregg syndrome) P.223

7. Cryptophthalmia syndrome (cryptophthalmosâ??syndactyly)

8. Hurler syndrome

9. Krabbe syndrome

10. Lowe syndrome (oculocerebrorenal syndrome)

11. Milroy disease (chronic hereditary edema; Nooneâ??Milroyâ??Meige disease)

12. Neurofibromatosis (von Recklinghausen disease)

13. Oculodentodigital dysplasia

14. Rieger syndrome (hypodontia and iris dysgenesis)

15. Sporadic occurrence

16. Sturgeâ??Weber syndrome (encephalotrigeminal syndrome)

McKusick VA. Mendelian inheritance in man, 12th ed. Baltimore: Johns Hopkins University Press, 1998.

Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.

Pseudoendophthalmitis (Conditions that Simulate Endophthalmitis)

1. *Chemical reactions from irritating chemicals (irrigating solutions or medications) introduced into the anterior chamber

2. Foreign material in the anterior chamber

3. Metastatic carcinoma

4. Retained lenticular material

5. Severe postoperative iridocyclitis

6. Toxic anterior segment syndrome (TASS)

Levine RA, Williamson DE. Metastatic carcinoma simulating a post-operative endophthalmitis. Arch Ophthalmol 1970;83:59â??60.Bibliographic Links

Mamalis N. Inflammation. In: Charlton JF, Weinstein GW. Ophthalmic surgery complications: prevention and management. Philadelphia: JB Lippincott, 1995:313â??338.

Monson MC, et al. Toxic anterior segment inflammation following cataract surgery. J Cataract Ref Surg 1992;18:184â??189.

Endophthalmitis (Intraocular Infection)

1. Bacterial agents

A.Gram positive

1. Bacillus subtilis, megaterium, anthracis, cereus

2. Clostridium perfringens (B. welchii)

3. Clostridium tetani

4. Coryneform bacterium

5. Diplococcus pneumoniae (Pneumococcus)

6. Diphtheroids

7. Listeria monocytogenes

8. *Propionibacterium acnes

9. *Staphylococcus aureus, albus, and epidermidis

10. Streptococcus viridans, S. hemolytic, S. pneumoniae, and Pyogenes salivarius

B.Gram negative

1. Aerobacter aerogenes

2. Enterobacter cloacae

3. Escherichia coli

P.224

4. Fusobacterium organisms

5. Klebsiella pneumoniae (Friedlander bacillus)

6. Meningococci

7. Morganella species

8. Mycobacterium organisms

9. Neisserias catarrhalis

10. Ochrobactrum anthropi

11. Pasteurella multocida and tularensis

12. Proteus vulgaris (B. proteus) and mirabilis 13. *Pseudomonas aeruginosa (B. pyocyaneus) 14. Serratia marcescens

15. Yersinia enterocolitica or Y. pseudotuberculosis

2. Fungal agents

A.Acanthamoeba

B.Actinomyces species, including Nocardiosis

C.Aspergillus species

D.Blastomyces dermatitidis

E.Candida species

F.Cephalosporium species, hyphas

G.Coccidioides immitis

H.Crytococcus neoformans

I.Hormodendrum

J.Hyalopus bogolepofi

K.Hyalosporus

L.Mucormycosis species

M.Neurospora sitophila

N.Sporothrix schenkii

O.Sporotrichum schenkii

P.Volutella species

3. Viral agents

A.Behçet syndrome (dermatostomatoophthalmic syndrome)

B.Cytomegalovirus

C.Myxovirus (influenza)

D.Nocardia asteroides

E.Vaccinia

F.Variola

4. Nematode agents

A.Taenia solium

B.Toxocara canis and T. cati

5. Other agents

A.Mycosis fungoides

B.Exophiala jeanselmei (yeast)

Blackman DM, et al. Bacillus cereus endopthalmitis secondary to self-inflicted periocular injections. Arch Ophthalmol 2000;118:1585â??1586.

Chen JC, Roy M. Epidemic bacillus endophthalmitis after cataract surgery II. Ophthalmology 2000;107:1038â??1041.Bibliographic Links

Clark WL, et al. Treatment strategies and visual acuity outcomes in chronic postoperative propionibacterium acnes endophthalmitis. Ophthalmology 1999;106:1665â??1670.Bibliographic Links

Hofling-Lima AL, et al. Exophiala jeanselmei causing late endophthalmitis after cataract surgery. Am J Ophthalmol 1999;128,4:512â??514.

P.225

Li Suhui, et al. Unilateral blastomyces dermatitidis endophthalmitis and orbital cellulitis. Ophthalmology 1998;105:1466â??1470.Bibliographic Links

Okada AA, et al. Endogenous bacterial endophthalmitis: report of a ten-year retrospective study. Ophthalmology 1994;101:832â??888.Bibliographic Links

Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.

Weishaar PD, et al. Endogenous aspergillus endophthalmitis. Ophthalmology 1998;105:57â??68.Bibliographic Links

Intraocular Cartilage

1. Angiomatosis of the retina

2. Chromosome deletion

3. Chronic inflammation

4. Facial nevus of Jadassohn (linear sebaceous nevus syndrome)

5. Incidental findings in microphthalmic eye, microphthalmos with cyst, microphthalmic eye from a cyclopic orbit, in eyes with coloboma of the choroid and retina or ciliary body

6. Incontinentia pigmenti (Blochâ??Sulzberger disease)

7. Persistent hyperplastic primary vitreous

8. Retinal dysplasia

9. Teratoid medulloepithelioma (dictyomas)

10. Trisomy (13-Patau syndrome) (globe less than 10 mm in diameter)

Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.

Wilkes SR, et al. Ocular malformation in association with ipsilateral facial nevus of Jadassohn. Am J Ophthalmol 1981;92:344â??352.Bibliographic Links

Intraocular Calcifications

1. Choroidal osteoma

2. Facial nevus of Jadassohn (linear sebaceous nevus syndrome) 3. Intraocular calcifications

A.Congenital deformity

B.Gitelman syndrome

C.Recurrent iritis and keratitis

D.Retinal detachment

E.Trauma (perforating, nonperforating, or surgical)

4. Intraocular sarcoma

5. *Retinoblastoma

6. Retinopathy of prematurity (end stage)

7. Sites of intraocular calcification

A.Calcific emboli of retinal and ciliary arteries

B.Cyclitic membrane

C.Lens

D.Peripapillary choroid

E.Posterior pole to ora serrata in region of choroid and pigment epithelium

F.Retina

G.Vitreous

Bourcier T, et al. Sclerochoroidal calcification associated with Gitelman syndrome. Am J Ophthalmol 1999;128:767â??768.Bibliographic Links

P.226

Trimble SN, et al. Spontaneous decalcification of a choroidal osteoma. Ophthalmology 1988;95:631â??634.Bibliographic Links

Wolter JR. The message of a bony lens. Ophthalmic Surg Lasers 1981;12:332.

Intraocular Adipose Tissue

1. Congenital malformations

A.Dermoid or dermolipoma extending from the cornea or limbus into the globe

B.Malformed optic nerve

C.Persistent hyperplastic vitreous (PHPV) and other related ocular malformations, such as microphthalmia, persistent hyaloid vessels, cataract, and abnormal differentiation of the angle of the anterior chamber

2. Embolic phenomenon secondary to crush wounds of the thorax and abdomen or fracture of long bones of the extremities

3. Formation of fatty tissue within the marrow spaces of metaplastic bone

4. Missile passing through orbit carrying orbital fat into the eye

Font RL, et al. Intraocular adipose tissue and persistent hyperplastic primary vitreous. Arch Ophthalmol 1969;82:43â??59.Bibliographic Links

Willis R, et al. Heterotropic adipose tissue and smooth muscle in the optic disc: association with isolated colobomas. Arch Ophthalmol 1972;86:139â??146.Bibliographic Links

Soft Globe (Decreased Intraocular Pressure)

1. *Fistula from intraocular source, including penetrating intraocular trauma or surgery and ruptured wall of the globe

2. *Laser or cryotherapy ciliodestructive procedure

3. Phthisis bulbi

4. Choroidal detachment

5. Injury to the cervical sympathetic nerve

6. Serous detachment of the retina

7. Myotonic dystrophy (Curschmannâ??Steinert syndrome)

8. Systemic disturbances

A.Cardiac edema

B.Diabetic coma

C.Extreme or rapid dehydration because of malnutrition, cholera, or diarrhea

D.Decrease in ocular blood pressure due to hypotension, ligation of the carotid artery, carotid occlusion, or pulseless disease (Takayasu syndrome)

E.Giant cell arteritis (temporal arteritis syndrome)

F.Leprosy (Hansen disease)

G.Parkinson disease (shaking palsy)

H.Postencephalitic syndrome following severe cerebral trauma, barbiturate poisoning, in deep anesthesia, following leukotomy, or on the paralyzed side in cases of cerebral hemiplegia

I.Severe abdominal disturbances, such as intestinal perforation or obstruction

J.Profound anemias

K.Uremic coma

P.227

9. Drugs, including the following:

acebutolol

desoxycorticosterone

levobunolol

aceclidine

dexamethasone

lidocaine

acetazolamide

diacetylmorphine

mannitol

acetylcholine

diazepam

mannitol hexanitrate

acetyldigitoxin

dichlorphenamide

marijuana

adrenal cortex injection

digitoxin

mecamylamine

aldosterone

digoxin

medrysone

albuterol

dimethyl tubocurarine

meperidine

 

iodide

 

alcohol

diphenylhydantoin

mephenesin

allobarbital

dipivefrin

mephobarbital

alseroxylon

dipiperidinoethane (DPE)

mepivacaine

amobarbital

dronabinol

meprednisone

amyl nitrite

droperidol

meprobamate(?)

antazoline

echothiophate

methacholine

aprobarbital

ephedrine

metharbital

acebutolol

epinephrine

methazolamide

aspirin

ergotamine

methitural

atenolol

ergonovine

methohexital

barbital

erythrityl tetranitrate

methoxyflurane

beclomethasone

ether

methyclothiazide

bendroflumethiazide

ethoxzolamide

methyldopa

benzthiazide

etidocaine

methylergonovine

betamethasone

fludrocortisone

methylprednisolone

betaxolol

fluorometholone

methysergide

bupivacaine

fluprednisolone

metipranolol

butabarbital

flurazepam

metocurine iodide

butalbital

furosemide

metolazone

butallylonal

gitalin

metoprolol

butethal

glycerin

morphine

carbachol

guanethidine

nadolol

carisoprodol (?)

haloperidol

naphazoline

chlordiazepoxide

hashish

neostigmine

chlorisondamine

heparin

nitroglycerin

chloroform

heptabarbital

nitrous oxide

chlorothiazide

hexamethonium

norepinephrine

chlorthalidone

hexethal

opium

cidofovir

hexobarbital

oral contraceptives

clofibrate (?)

hydrochlorothiazide

ouabain

clonidine

hydrocortisone

oxprenolol

cortisone

hydroflumethiazide

oxygen

cyclobarbital

indapamide

paramethasone

cyclopentobarbital

insulin

phenylephrine

cyclothiazide

isoflurophate

pindolol

demecarium

isosorbide

prednisone

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