Ординатура / Офтальмология / Английские материалы / Ocular Differential Diagnosis 7th edition_Roy_2002
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2. Anemias of childhood (severe: Cooley, sickle cell, spherocytosis, iron deficiency) 3. Cerebral atrophy (childhood)
4. Craniostenosis P.41
5. Engelmann disease (hereditary diaphyseal dysplasia)
6. Hyperostosis frontalis interna
7. Idiopathic
8. Infantile cortical hyperostosis (Caffey disease)
9. Microcephaly
10. Myotonia atrophica (myotonic dystrophy, Curschmannâ??Steinert syndrome)
11. Osteopetrosis (Albersâ??Schönberg disease)
12. Paget disease (osteitis deformans)
13. Tumors of orbit, including osteoma, fibrous dysplasia (Albright syndrome), meningioma, metastatic neuroblastoma, mixed tumors of lacrimal gland, transitional cell carcinomas of the nasopharynx
Albert DM, Jakobiec FA. Principles and practice of ophthalmology. Philadelphia: WB Saunders, 1994:1881â??2095.
Jacobs L, et al. Computerized tomography of the orbit and sella turcica. New York: Raven Press, 1980.
Teplick JG, Hoskin ME. Roentgenologic diagnosis, 3rd ed. Philadelphia: WB Saunders, 1976.
Expansion of Optic Canal
1. Increased intracranial pressure
2. Inflammatory lesions
A.Chiasmatic arachnoiditis
B.Nonspecific granuloma
C.Sarcoid granuloma
D.Tuberculoma
3. Tumors
A.Meningioma
B.Metastatic sarcoma to choroid
C.Neurofibromatosis (von Recklinghausen syndrome)
D.Optic nerve glioma
E.Retinoblastoma
4. Vascular lesions
A. Arteriovenous malformation
B. Ophthalmic artery aneurysm
Levin LA, Rubin PD. Advances in orbital imaging. Int Ophthalmol Clin 1992;32:1â??25.Buy NowBibliographic Links
Potter GD, Trakel SL. Optic canal. In: Newton TH, Potts DG, eds. Radiology of the skull and brain, Vol 1, Book 2. St. Louis: CV Mosby, 1971.
Zizmor J. Orbital radiology in unilateral exophthalmos. In: Turtz AI, ed. Proceedings of the Centennial Symposium: Manhattan Eye, Ear, and Throat Hospital, Vol I. St. Louis: CV Mosby, 1969.
Small Optic Canals
1. Developmental abnormalities
A.Anophthalmos or microphthalmos
B.Enucleation
C.Craniosynostosis (CSO)
2. Dysostoses
A.Osteopetrosis (Albersâ??Schönberg syndrome)
B.Fibrous dysplasia (Albright syndrome)
C.Pyle disease (craniometaphyseal dysplasia syndrome)
D.Paget disease (osteitis deformans)
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3. Inflammatory lesionsâ??osteitis
4. Tumorâ??meningioma
Albert DM, Jakobiec FA. Principles and practice of ophthalmology. Philadelphia: WB Saunders, 1994:1881â??2095.
Potter GD, Trokel SL. Optic canal. In: Newton TH, Potts DG, eds. Radiology of the skull and brain, Vol 1, Book 2. St. Louis: CV Mosby, 1971.
Erosion of Optic Canal
1. Lateral wall
A.Pituitary tumor
B.Aneurysm of internal carotid artery
C.Craniopharyngioma
D. Tumor of orbital apex 2. Medial wall
A.Carcinoma of sphenoid sinus
B.Mucocele of sphenoid sinus
C.Granuloma of sphenoid sinus
3. Roof
A.Tumor of anterior cranial fossa
B.Surgical unroofing
4. Decrease in length
A.Tumor of orbital apex 5. Complete destruction
A.Malignant tumor
B. Eosinophilic granuloma
Albert DM, Jakobiec FA. Principles and practice of ophthalmology. Philadelphia: WB Saunders, 1994:1881â??2095.
Potter GD, Trakel SL. Optic canal. In: Newton TH, Potts DG, eds. Radiology of the skull and brain, Vol 1, Book 2. St. Louis: CV Mosby, 1971.
Zizmor J. Orbital radiology in unilateral exophthalmos. In: Turtz AI, ed. Proceedings of the Centennial Symposium: Manhattan Eye, Ear, and Throat Hospital, Vol I. St. Louis: CV Mosby, 1969.
Enlargement of Superior Orbital Fissure
1. Carotid cavernous fistula
2. Chronic increased intracranial pressure
3. Extension of infraorbital mass into fissure
4. Intracavernous carotid aneurysm
5. Intracranial chordoma
6. Masses within middle fossa
7. Metastatic carcinoma to sphenoid wings
8. Nasopharyngeal carcinomaâ??rare
9. Neurofibromatosis including optic nerve glioma
10. Orbital dysplasia
11. Orbital varix
12. Pituitary neoplasmâ??changes in sella and clinoid process
13. Posterior orbital encephalocele
14. Sarcomas, neurilemoma, or other orbital malignancies
Albert DM, Jakobiec FA. Principles and practice of ophthalmology. Philadelphia: WB
Saunders, 1994:1881â??2095.
Grimson BS, Perry DD. Enlargement of the optic disk in childhood optic nerve tumors. Am J Ophthalmol 1984;97:627â??631.Bibliographic Links
P.43
Shields JA, et al. Orbital neurilemoma with extension through the superior orbital fissure. Arch Ophthalmol 1986;104:871â??873.Bibliographic Links
Narrowing of Superior Orbital Fissure
1. Chronic hemolytic anemias of childhood
2. Fibrous dysplasia (Albright syndrome)
3. Meningioma
4. Osteitis
5. Osteoblastoma
6. Osteoma
7. Osteopetrosis (Albersâ??Schönberg syndrome)
8. Paget disease (osteitis deformans)
Albert DM, Jakobiec FA. Principles and practice of ophthalmology. Philadelphia: WB Saunders, 1994:1881â??2095.
Jacobs L, et al. Computerized tomography of the orbit and sella turcica. New York: Raven Press, 1980.
Kieffer SA. Superior orbital fissure. In: Newton TH, Potts DG, eds. Radiology of the skull and brain, Vol 1, Book 2. St. Louis: CV Mosby, 1971.
Small Orbit
1. Anophthalmos
2. Enucleation
3. Microphthalmos
4. Mucocele
Kieffer SA. Orbit. In: Newton TH, Potts DG, eds. Radiology of the skull and brain, Vol 1, Book 2. St. Louis: CV Mosby, 1971.
Sarnat BG. Eye and orbital size in the young and adult. Ophthalmologica 1982;185:74â??89.Bibliographic Links
Large Orbit
1. Congenital
A.Dysplasia
B.Glaucoma
C.Serous cysts
2. Pseudotumor
3. Tumors within the muscle cone
A.Hemangiomas
B.Neurofibroma
C.Optic glioma
D.Orbital varix
E.Retinoblastoma
Albert DM, Jakobiec FA. Principles and practice of ophthalmology. Philadelphia: WB Saunders, 1994:1881â??2095.
Kieffer SA. Orbit. In: Newton TH, Potts DG, eds. Radiology of the skull and brain, Vol 1, Book 2. St. Louis: CV Mosby, 1971.
Hematic Orbital Cysts (Blood Cyst of Orbit)
1. Blood dyscrasia
2. Cavernous hemangioma P.44
3. Childbirth
4. Lymphangioma
5. Orbital blunt trauma
6. Spontaneous hemorrhage
7. Vascular disease
Albert DM, Jakobiec FA. Principles and practice of ophthalmology. Philadelphia: WB Saunders, 1994:1881â??2095.
Jacobson DM, et al. Maternal orbital hematoma associated with labor. Am J Ophthalmol 1988;105:547â??553.Bibliographic Links
Shapiro A, et al. A clinicopathologic study of hematic cysts of the orbit. Am J Ophthalmol 1986;102:237â??241.Bibliographic Links
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2
Lids
P.46
Mongoloid Palpebral Fissure (Temporal Canthus Higher
Than Nasal Canthus)
1. Esotropia syndrome
2. Exotropia syndrome
3. Amniogenic band syndrome (Streeter dysplasia)
4. Anhidrotic ectodermal dysplasia
5. Cebocephalia (fetalis hypoplastica)
6. Chondrodystrophia (Conradi syndrome)
7. Chromosome short-arm deletion
8. Congenital spherocytic anemia
9. Crouzon syndrome (hereditary craniofacial dysostosis)
10. Duplication 14Q syndrome
11. Femoral-facial syndrome
12. Fetal hydantoin syndrome
13. Hereditary ectodermal dysplasia syndrome (Siemen syndrome)
14. Jacobs syndrome (triple X syndrome)
15. Jarchoâ??Levin syndrome
16. Klinefelter XXY syndrome (gynecomastiaâ??aspermatogenesis syndrome)
17. Laurenceâ??Moonâ??Biedl syndrome (retinitis pigmentosaâ??polydactylâ??adiposogenital syndrome)
18. Meckel syndrome (dysencephaliaâ??splanchnocystic syndrome)
19. Millerâ??Dieker syndrome
20. *Mongoloid (trisomy or Down syndrome)
21. *Asian persons
22. Peters trisomy 5p (Peters anomaly)
23. Otopalataodigital syndrome
24. Pfeiffer syndrome
25. Pleonosteosis syndrome (Leri syndrome, carpal tunnel syndrome)
26. Praderâ??Willi syndrome
27. Rhizomelic chondrodysplasia punctata syndrome
28. Trisomy mosaic and 9psyndromes
29. Trisomy syndrome
30. Trisomy 6Q syndrome
31. Trisomy 9Q syndrome
32. Trisomy and 18q syndrome P.47
33. Trisomy 20p syndrome
34. XXXXX syndrome
35. XXXXY syndrome
36. 4psyndrome
37. 5psyndrome
Isenberg SJ. The eye in infancy. Chicago: Year Book Medical, 1989.
Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.
Antimongoloid Palpebral Fissure (Downward Displacement
of Temporal Canthus)
1. Aarskog syndrome (faciodigitogenital syndrome)
2. Acrocephalosyndactylia (Apert syndrome)
3. Esotropia and exotropia
4. Bird-headed dwarf syndrome (Seckel syndrome)
5. Baraitserâ??Winter syndrome
6. Cardiofaciocutaneous syndrome
7. Cerebral gigantism (Sotos syndrome)
8. Cleft palate
9. Chromosome short-arm deletion
10. Cloverleaf cranium
11. Coffinâ??Lowry syndrome
12. Cohen syndrome
13. Congenital facial hemiatrophy (Möbius syndrome)
14. Craniocarpotarsal dysplasia (Freemanâ??Sheldon syndrome; whistling face syndrome)
15. Craniofacial dysostosis (Crouzon syndrome) 16. Cri-du-chat syndrome (Cry of the cat syndrome)
17. De Lange syndrome (congenital muscular hypertrophyâ??cerebral syndrome)
18. Di George syndrome
19. Epidermal nevus syndrome (ichthyosis hystrix)
20. Lethal multiple pterygium syndrome (LMPS)
21. Linear nevus sebaceous of Jadassohn (Jadassohn-type anetoderma)
22. Mandibulofacial dysostosis (Franceschetti syndrome and Treacherâ??Collins syndrome)
23. Marchesani syndrome (dystrophia mesodermalis congenita hyperplastica)
24. Maxillofacial dysostosis
25. Nager syndrome
26. Noonan syndrome (male Turner syndrome)
27. Obesityâ??cerebralâ??ocularâ??skeletal anomalies syndrome
28. Oculoauriculovertebral dysplasia (Goldenhar syndrome)
29. Oculomandibulofacial dyscephaly (Hallermannâ??Streiff syndrome)
30. Organoid nevus syndrome
31. Otopalatodigital syndrome (OPD)
32. Pyknodysostosis
33. Partial trisomy of long arm of chromosome 630. Pseudo-Ullrichâ??Turner syndrome 34. Ring D chromosome
35. Rubinsteinâ??Taybi syndrome (broad thumbs syndrome)
36. Ruvalcaba syndrome
37. Saethreâ??Chotzen syndrome
38. 3-P syndrome P.48
39. *Trauma
40. Trisomy 9p syndrome
41. Trisomy syndrome
42. Trisomy 17p syndrome
43. Trisomy 20P syndrome
44. Trisomy syndrome (E syndrome)
45. Turner syndrome (gonadal dysgenesis)
46. Wolf syndrome (chromosome partial deletion syndrome)
47. 4qsyndrome
48. 21q syndrome
49. 9p syndrome
Isenberg SJ. The eye in infancy. Chicago: Year Book Medical, 1989.
Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.
Pseudoptosis
Pseudoptosis includes conditions that simulate ptosis, but lid droop is not the result of levator malfunction, and ptosis is usually corrected when the causative factors are cleared up or removed.
1. Due to globe displacement
A.Anophthalmia including poorly fitting prosthesis
B.*Enophthalmos such as that resulting from blowout fracture of the floor of the orbit or atrophy of orbital fat
C.*Microphthalmia
D.*Phthisis bulbi
E.Hypotony and inward collapse of eye
F.Cornea plana
G.Hypotropia of that eye or hypertropia of the other eye
2. Due to mechanical displacement of the lid
A.Inflammation
1. Trachomaâ??thick, heavy lid
2. *Chalazion or hordeolum
3. Elephantiasis
4. Chronic conjunctivitisâ??conjunctival thickening
5. Traumatic or infectious edema involving the lid
6. *Blepharitis
7. Corneal foreign body
8. Contact lens
9. Sinusitis, cellulitis
B.Tumors, especially fibromas, lipomas, or hemangiomas
C.Scar tissue due to burns, physical trauma, and lacerations that can bind the lid down
D.Tumors of lacrimal glandâ??S-shaped lid
3. *Dermatochalasis (ptosis adiposa, baggy lids, â??puffsâ? â??senile atrophy of the lid skin) 4. Blepharochalasisâ??a rare condition occurring in young persons, characterized by
recurrent bouts of inflammatory lid edema with subsequent stretching of the skin
5. The oriental lidâ??the palpebral fissure is narrower than normal and the upper lid rarely has a furrow; hence, the fold usually hangs down to or over the lid margin.
P.49
6. Dissociated vertical deviation (DVD)
7. Duane syndrome (retraction syndrome)
8. Blepharospasmâ??eyebrow lower than normal, hemifacial spasm
9. Contralateral widening of the lid fissure as pseudoproptosis (see p. 4), exophthalmos, or lid retraction (see p. 62)
10. Vertical strabismus
Beard C. Ptosis. St. Louis: CV Mosby, 1969.
Beyer CK, et al. Naso-orbital fractures, complications, and treatment. Ophthalmology 1982;89:456.Bibliographic Links
Crawford JS. Ptosis: is it correctable and how? Ann Ophthalmol 1971;3:452â??456.
Huber A. Eye symptoms in brain tumors, 2nd ed. St. Louis: CV Mosby, 1971.
