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

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Seddon J, Fong D. The association between cigarette smoking and ocular diseases. Surv Ophthalmol 1998;42:535â??547.Bibliographic Links

Lamellar (Stellate, Zonular, Cortical, Coronary) Cataracts

1. Alcohol

2. Aniridia

3. Argon laser

4. Autosomal-dominant congenital cataract

5. Congenital zonular cataract

6. Cortical cataract and congenital ichthyosis

7. Dermochonoral corneal dystrophy

8. Diabetes mellitus (Willis disease)

9. Females

10. Galactokinase deficiency (von Reuss syndrome)

11. Hagbergâ??Santavuori (neuronal ceroidâ??lipofuscinoses)

12. Hypertension

13. Hypoglycemia

14. Hypophosphatasia (phosphoethanolaminuria)

15. Iritis

16. Leiomyoma

P.392

17. Mannosidosis

18. Marfan syndrome (dolichostenomeliaâ??arachnodactylyâ??hyperchondroplasiaâ??dystrophia mesodermalis congenita)

19. Marshall syndrome (atypical ectodermal dysplasia)

20. Myotonic dystrophy syndrome (Curschmannâ??Steinert syndrome)

21. Neurofibromatosis 2 (central neurofibromatosis)

22. Nieden syndrome (telangiectasia cataract syndrome)

23. Nonwhites

24. Obesity (abdominal)

25. Organic nitrate explosives

26. Passow syndrome (status dysraphicus syndrome)

27. Riboflavin deficiency (Stannus cerebellar syndrome)

28. Roy syndrome (cataract associated with smoking)

29. *Sunlight

30. Tetany cataract (hypoparathyroidism)

31. *Ultraviolet-B light

32. Van Bogaertâ??Schererâ??Epstein syndrome (primary hyperlipidemia)

33. Van der Hoeve syndrome (osteogenesis imperfecta)

34. Wagner syndrome (hyaloideoretinal degeneration)

35. Zonular cataract and nystagmusâ??X-linked

Leske MC, et al. Diabetes, hypertension, and central obesity as cataract risk factors in a black population. Ophthalmology 1999;106:35â??41.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.

Roy FH. Cigarette smoking and the risk of cataract [Letter]. JAMA 1993;269:748.Bibliographic Links

Younger CR, et al. Lens opacifications detected by slitlamp biomicroscopy are associated with exposure to organic nitrate explosives. Arch Ophthalmol 2000;118:1653â??1657.Bibliographic Links

Punctate Cataracts (Numerous Small Opacities)

1. Albright hereditary osteodystrophy (pseudohypoparathyroidism)

2. Argon laser

3. Autosomal dominant vitreoretinochoroidopathy (ADVIRC)

4. Cockayne syndrome (dwarfism with retinal atrophy and deafness) 5. Cretinism (hypothyroidism)

6. Galactokinase deficiency (von Reuss syndrome)

7. Hypercalcemia (adult)

8. Hyperprolactinemia

9. Incontinentia pigmenti achromians

10. Lowe syndrome (oculocerebrorenal syndrome)

11. Rothmund syndrome (telangiectasia-pigmentation-cataract syndrome) 12. Supravalvular aortic stenosis (Williams-Beuren syndrome)

Costagliola C. Hyperprolactinemia and lens opacities. Ann Ophthal 1992;24:418â??419.

Drack AV, et al. Transient punctate lenticular opacities as a complication of Argon laser photocoagulation in an infant with retinopathy of prematurity. Am J Ophthalmol 1992;113:583.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.

P.393

Posterior Subcapsular Cataract

1. Complicated cataract

A.Anterior segment involvement, such as that because of the following:

1. Acute and chronic corneal ulcer

2. *Iridocyclitis

3. *Chronic anterior uveitis

4. Acute or chronic glaucoma

B.Posterior segment involvement such as that because of the following:

1. *Chronic posterior uveal inflammation

2. Long-standing retinal detachment

3. High myopia

4. Hereditary retinal lesions, including retinitis pigmentosa

5. Persistent hyperplastic primary vitreous

2. Congenital posterior polar lens changes

A.Spurious posterior capsular cataract (Mittendorf dot)

B.Posterior polar cataractâ??persistent fibrovascular sheath of lens with or without secondary cataract

C.Posterior lenticonus

3. Aberfeld syndrome (ocular and facial abnormalities syndrome)

4. Acrodermatitis chronica atrophicans

5. Alcoholism

6. Aniridia

7. Anterior segment ischemia syndrome

8. Aspergillosis

9. Bassenâ??Kornzweig syndrome (familial hypolipoproteinemia)

10. Blochâ??Sulzberger syndrome (incontinentia pigmenti)

11. Buerger disease (thromboangiitis obliterans)

12. Capsular exfoliation syndrome

13. Carotid artery syndrome

14. Chromosome partial deletion (short-arm) syndrome

15. Congenital amaurosis of Leber (Leber congenital amaurosis)

16. Cushing syndrome

17. *Diabetes mellitus (Willis disease)

18. Drugs, including dinitrophenol busulfan (Myleran), triparanol (MER-29), PUVA (psoralen

plus ultraviolet light of A-wave length), allopurinol, indapamide, megestrol acetate, and phenothiazine usage

19. Electrical injury

20. Engelmann syndrome (diaphyseal dysplasia)

21. Fabry disease (glycosphingolipid lipidosis)

22. Familial hypogonadism syndrome

23. Frenkel syndrome (ocular contusion syndrome)

24. Fuchs syndrome

25. Glassblowers (heat) cataract

26. Gyrate atrophy (ornithine ketoacid aminotransferase deficiency)

27. Hagbergâ??Santavuori syndrome (neuronal ceroid-lipofuscinoses)

28. Hair dye

29. Hand-Schüllerâ??Christian syndrome (xanthomatous granuloma syndrome) 30. Harada syndrome (uveitisâ??vitiligoâ??alopeciaâ??poliosis syndrome)

P.394

31. Heerfordt syndrome (uveoparotitis)

32. Hemochromatosis

33. Herpes simplex

34. Hodgkin disease

35. Hypertension

36. Hypoparathyroidism

37. Ionizing radiation, such as that encountered in x-ray, radium, or neutron therapy 38. Jacobsenâ??Brodwall syndrome

39. Kussmaul disease (necrotizing angiitis)

40. Kyrle disease (hyperkeratosis follicularis et parafollicularis in cutem penetrans) 41. Laurenceâ??Moonâ??Bardetâ??Biedl syndrome (retinitis

pigmentosaâ??polydactylyâ??adiposogenital)

42. Leprosy (Hansen disease)

43. Leri syndrome (carpal tunnel syndrome)

44. Leukemia

45. Lightning induced

46. Malaria

47. Meckel syndrome (dysencephalia splanchnocystic syndrome)

48. Myotonic dystrophy (Curschmannâ??Steinert syndrome)

49. Neurodermatitis (lichen simplex chronicus)

50. Neurofibromatosis 1 (von Recklinghausen syndrome)

51. Neurofibromatosis 2 (central neurofibromatosis)

52. Ocular trauma (blunt)

53. Oculootoororenoerythropoietic disease

54. O'Donnellâ??Pappas syndrome (foveal hypoplasia and presenile cataractâ??autosomal dominant)

55. Paget syndrome (osteitis deformans)

56. Pemphigus foliaceus (Cazenave disease)

57. Pernicious anemia syndrome

58. Pierre Robin syndrome (micrognathia-glossoptosis syndrome)

59. Posterior polar cataractâ??autosomal dominant

60. Pseudohypoparathyroidism

61. Refsum syndrome (phytanic acid storage disease)

62. Renal transplantation

63. Retinitis pigmentosaâ??deafnessâ??ataxia syndrome

64. Roy syndrome I (unilateral cataract associated with smoking) 65. *Senile posterior cortical cataract

66. Sjögren syndrome (secretoinhibitor syndrome)

67. Silicone oil (intraocular)

68. *Steroid usage (topical or systemic)

69. Stickler syndrome (hereditary progressive arthro-ophthalmopathy)

70. Still disease (juvenile rheumatoid arthritis)

71. Toxocariasis (Nematode ophthalmia syndrome)

72. Trisomy (Patau syndrome)

73. Tuomaalaâ??Haapanen syndrome (similar to pseudohypoparathyroidism)

74. Turner syndrome (gonadal dysgenesis)

75. Ultraviolet-B light

76. Uric acid (increased serum levels)

77. Vitrectomy for diabetic retinopathy P.395

78. Weil disease (leptospirosis)

79. Werner syndrome (progeria of adults)

80. Yersiniosis

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.

Seddon J, Fong D. The association between cigarette smoking and ocular diseases. Surv Ophthalmol 1998;42:535â??547.Bibliographic Links

Tong JT, Bateman JB. Selective B-wave reduction with congenital cataract in neurofibromatosis-2. Ophthalmology 1999;106:1681â??1683.Bibliographic Links

P.396

P.397

P.398

Diagnostic table

Posterior subcapsular cataract

View PDF

P.399

Iridescent Crystalline Deposits in Lens

1. Idiopathic

2. Hypothyroid (cretinism)

3. Hypocalcemia

A.Postoperativeâ??removal of thyroid and accidental parathyroid removal

B.Idiopathic hypoparathyroidism

C.Pseudohypoparathyroidism (hypoparathyroid cretinism) or with hyperphosphatemia (Albright disease)

D.Pseudopseudohypoparathyroidism (brachymetacarpal dwarfism)

4. Myotonic dystrophy (Curschmannâ??Steinert syndrome)

5. Drugs, including the following:

 

acetophenazine

 

 

 

gold Au 198

 

 

prochlorperazine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

amiodarone

 

 

gold sodium thiomalate

 

 

promazine

 

 

 

 

 

 

 

 

 

auranofin

 

 

gold sodium thiosulfate

 

 

promethazine

 

 

 

 

 

 

 

 

 

aurothioglucose

 

mercuric oxide

 

 

propiomazine

 

 

 

 

 

 

 

 

 

aurothioglycanide

 

mesoridazine

 

 

silver nitrate

 

 

 

 

 

 

 

 

 

butaperazine

 

 

methdilazine

 

 

silver protein

 

 

 

 

 

 

 

 

 

carphenazine

 

 

methotrimeprazine

 

 

thiethylperazine

 

 

 

 

 

 

 

 

 

chlorpromazine

 

 

mild silver protein

 

 

thiopropazate

chlorprothixene

 

perazine

 

thioridazine

colloidal silver

pericyazine

thiothixene

diazepam (?)

perphenazine

trifluoperazine

diethazine

phenylmercuric acetate

triflupromazine

ethopropazine

phenylmercuric nitrate

trimeprazine

fluphenazine piperacetazine

6. Cataract (coralliform and aculeiform) usually autosomal dominant; sometimes recessive

Fraunfelder FT, Fraunfelder FW. Drug-induced ocular side effects. Woburn, MA: Butterworth-Heinemann, 2001.

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.

Oil Droplet in Lens

1. Anterior displacement of lens

2. *Galactosemiaâ??transferase deficiency (von Reuss syndrome)

3. Lenticonus

Bellows JG, Bellows RT. Displacement of the lens. In: Bellows JG, ed. Cataract and abnormalities of the lens. New York: Grune & Stratton, 1975:277.

Beutler E, et al. Galactokinase deficiency as cause of cataract. N Engl J Med 1973;288:1203â??1206.Bibliographic Links

Lenticonus (Conical Lens Surface Protuberance) and Lentiglobus (Globular Lens Surface Protuberance)

1. Anteriorâ??rare and usually bilateral

A.*Alport syndrome (hereditary nephritis)

B.Spina bifida

C.Waardenburg syndrome (embryonic fixation syndrome)

P.400

2. Posteriorâ??more common and often unilateral

A.Associated with persistent hyperplastic primary vitreous

B.Associated with remnants of hyaloid artery

C.Familial posterior lenticonus and microcornea

D.*Lowe syndrome (oculocerebrorenal syndrome)

E.Trauma

Bleik JH, et al. Familial posterior lenticonus and microcornea. Arch Ophthalmol 1992;110:1208.Bibliographic Links

Junk AK, et al. Bilateral anterior lenticonus. Arch Ophthalmol 2000;118:895â??897.Bibliographic Links

Tripathi RC, et al. Pathogenesis of cataracts in patients with Lowe's syndrome. Ophthalmology 1986;93:1046â??1051.Bibliographic Links

Lens Absorption

1. Congenital rubella syndrome (German measles)

2. Hallermannâ??Streiff syndrome (dyscephalic mandibulooculofacial syndrome)

3. Surgical trauma as discission

4. Trauma, blunt or penetrating

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

Exfoliation of Lens Capsule

In this condition, superficial layers of the lens capsule split off and float in aqueous as a fine membrane.

1. *Senile exfoliation

2. Toxic exfoliation

A.Atrophic eyes

B.Prolonged iridocyclitis

C.Lodgment of metallic foreign body, such as iron or copper

3. Traumatic

A.Perforating injury

B.Contusions with suspensory ligament separated from a dislocated lens

4. Heat exposure, such as that experienced by glassblowers

Duke-Elder S. System of ophthalmology, Vol XI. St. Louis: CV Mosby, 1969.

Meades K, Versace P. True exfoliation of the lens capsule. Aust N Z J Ophthalmol 1992;20:347â??348.Bibliographic Links

Microphakia or Spherophakia or Microspherophakia (Small Lens or Highly Spheric Lens)

1. Achard syndrome (Marfan syndrome with dysostosis mandibulofacialis)

2. Alport syndrome (hereditary nephritis)

3. Familial anomaly

4. Homocystinuria syndrome

5. Hyperlysinemia

6. Lenticular myopia as recessive inheritance trait

7. Little syndrome (hereditary osteoorcychodysplasia)

8. Lowe syndrome (renal rickets)

9. *Marchesani syndrome (brachymorphy with spherophakia) (Weillâ??Marchesani syndrome) P.401

10. Marfan syndrome (dolichostenomelia-arachnodactyly hyperchondroplasia dystrophica mesodermalis congenita)

11. Peter anomaly (anterior chamber cleavage syndrome)

12. Reticular dystrophy of the retinal pigment epithelium

13. Rubella syndrome (Gregg syndrome)

14. Waardenburg syndrome (embryonic fixation syndrome)

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

Sorsby A. Ophthalmic genetics, 2nd ed. New York: Appleton-Century-Crofts, 1970.

Dislocated Lens

1. Achard syndrome (Marfan with dysostosis)

2. Adenoma of the nonpigmented epithelium of the ciliary body 3. Apert syndrome (sphenoacrocraniosyndactyly)

4. Ascariasis

5. Associated ocular findings A. *Aniridia

B.Coloboma of iris and choroid

C.*Congenital glaucoma

D.Ectopia lentis et pupillae

E.Focal dermal hypoplasia (Goltz syndrome)

F.High myopia

G.Isolated lens dislocation (up)

H.Megalocornea

I.Microcornea

J.Microspherophakia with hernia

K.Pseudoxanthoma

L.Retinitis pigmentosa

6. Autosomal recessive or dominant abnormality without other defects, except usually ectopic pupils

7. Capsular exfoliation syndrome

8. Crouzon disease

9. Cryptophthalmia syndrome (cryptophthalmosâ??syndactyly syndrome)

10. Dwarfism, genetic type

11. Ehlersâ??Danlos syndrome (cutis hyperelastica)

12. Gillumâ??Anderson syndrome (blepharoptosis, myopia, ectopia lentis)

13. Gorlinâ??Goltz syndrome

14. Grönbladâ??Strandberg syndrome (pseudoxanthoma elasticum)

15. Hereditary ectodermal dysplasia syndrome

16. *Homocystinuriaâ??usually downward displacement of lens

17. Hyperlysinemia

18. Kniest syndrome

19. Late-onset localized junctional epidermolysis bullosa and mental retardation 20. Mandibulofacial dysostosis (Franceschetti syndrome)

21. Marchesani syndrome (brachymorphy with spherophakia)(Weillâ??Marchesani syndrome)

22. *Marfan syndrome (dolichostenomeliaâ??arachnodactylyâ??hyperchondroplasia dystrophia mesodermalis congenita)â??usually superior displacement of lens

P.402

23. Molybdenum cofactor deficiency (combined deficiency of sulfite oxidase and xanthine dehydrogenase)

24. Oculodental syndrome (Peters syndrome)

25. Pfaundler syndrome

26. Pierre Robin syndrome

27. Pseudoexfoliation (exfoliation syndrome)

28. Recession of anterior chamber angle

29. Refsum syndrome

30. Retinal disinsertion syndrome

31. Retinoblastoma

32. Rieger syndrome (dysgenesis mesostromalis)

33. Spherophakia (see p. 400)

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