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

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34. Spontaneous (degenerative)

35. Sprengel deformity

36. Sturgeâ??Weber syndrome

37. Sulfite oxidase deficiency

38. Surgical accidents (iatrogenic)

39. *Syphilis (lues)

40. *Trauma as in Frenkel syndrome (ocular contusion syndrome), beesting, and following YAG laser

41. Treacher Collins syndrome (mandibulofacial dysostosis)

42. Uveitis

43. Wildervanck syndrome (cervicooculoacoustic syndrome)

Byrnes BA, et al. Retinoblastoma presenting with spontaneous hyphema and dislocated lens. J Pediatr Ophthalmol Strabismus 1993;30:334â??336.Bibliographic Links

Edwards MC, et al. Isolated sulfite oxidase deficiency. Ophthalmology 1999;106:1957â??1961.Bibliographic Links

Melamed S, et al. Neodymium:YAG laser iridotomy as a possible contribution to lens dislocation. Ann Ophthalmol 1986;18:281â??282.Bibliographic Links

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

P.403

P.404

Diagnostic table

Dislocated lens

View Table

P.405

Aphakia (Absence of Lens in Usual Position Behind the

IRIS)

1. Congenital absence of lensâ??rare

2. Dislocation of the lens into vitreous cavity, anterior chamber, or subconjunctival area 3. Following cataract extraction

4. Gradual absorption of the lens

Hanna C, et al. Extraocular traumatic luxation of the lens. J Ark Med Soc 1969;66:210.Bibliographic Links

O'Brien CS. Ophthalmology: notes for students. Iowa City: Athens Press, 1930.

Equatorial Lens Pigmentation

1. Associated with myopia and retinal detachment

2. Congenital malformation

3. Pigmentary glaucoma

4. Uveitis

Delaney WV Jr. Equatorial lens pigmentation, myopia, and retinal detachment. Am J

Ophthalmol 1975;79:194â??205.Bibliographic Links

Unilateral Cataracts

1. Argon laser treatment

2. *Trauma

3. 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

5. Persistent hyperplastic primary vitreous

4. Roy syndrome I (unilateral cataract associated with smoking) 5. Congenital posterior polar lens changes

6. Glaucomatocyclitic crisis (Posnerâ??Schlossman syndrome)

7. Conditions that give bilateral manifestations with earlier onset in one eye

Jarrett WH. Dislocation of the lens. Arch Ophthalmol 1967;78:289.Bibliographic Links

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

Lenticular Disease Associated with Corneal Problems

1. Aberfeld syndrome (ocular and facial abnormalities syndrome)â??cataracts, microcornea 2. Acrodermatitis chronica atrophicansâ??keratomalacia, corneal opacification, cataracts

3. Addison syndrome (idiopathic hypoparathyroidism)â??keratoconjunctivitis, corneal ulcers, keratitic moniliasis, cataracts

P.406

4. Alport syndrome (hereditary nephritis)â??anterior lenticonus, posterior polymorphous

corneal dystrophy

5. *Amiodaroneâ??corneal deposits, anterior subcapsular cataracts

6. Amyloidosisâ??amyloid deposits of cornea, corneal dystrophy, pseudopodia lentis

7. Andersonâ??Warburg syndrome (oligophreniaâ??microphthalmos syndrome)â??corneal opacification and lenticular destruction with a mass visible behind the lens

8. Andogsky syndrome (atopic cataract syndrome)â??atopic keratoconjunctivitis, keratoconus, uveitis, subcapsular cataract

9. Aniridiaâ??microcornea and subluxated lenses

10. Anterior-chamber cleavage syndrome (Reeseâ??Ellsworth syndrome)â??corneal opacities, anterior pole cataract

11. Anterior segment ischemia syndromeâ??corneal edema, corneal ulceration, cataract

12. Apert syndrome (absent digits cranial defects syndrome)â??exposure keratitis, cataracts, ectopia lentis

13. Arteriovenous fistula (arteriovenous aneurysm)â??bullous keratopathy, cataract

14. Aspergillosisâ??corneal ulcer, keratitis, cataract

15. *Atopic dermatitis (atopic eczema, Besnier prurigo)â??keratoconjunctivitis, keratoconus, cataract

16. Autosomal dominantâ??cataracts and microcornea

17. Avitaminosis C (scurvy)â??keratitis, corneal ulcer, cataract

18. Chalcosis (intraocular copper containing foreign body) deposits in Descemet membrane and anterior lens capsule

19. Chickenpox (varicella)â??corneal ulcer, corneal opacity, keratitis, cataract

20. Chlorpromazineâ??corneal and lens opacities

21. Choleraâ??keratomalacia, cataract

22. Chromosome partial deletion (short-arm) syndromeâ??cataracts, corneal opacities 23. Chrysiasis (gold)â??corneal and lens deposits

24. Cockayne syndrome (Mickey Mouse syndrome)â??cataracts, band keratopathy, corneal dystrophy

25. Congenital spherocytic anemia (congenital hemolytic jaundice)â??congenital cataract, ring-shaped pigmentary corneal deposits

26. Crouzon syndrome (Parrot-head syndrome)â??exposure keratitis, cataract, corneal dystrophy

27. Cryptophthalmia syndrome (cryptophthalmosâ??syndactyly syndrome)â??cornea differentiated from sclera, lens absence to hypoplasia, dislocation, and calcification

28. Cytomegalic inclusion disease (cytomegalovirus)â??cataract, corneal opacities

29. Darierâ??White syndrome (keratosis follicularis)â??keratosis, corneal subepithelial infiltrations, corneal ulceration, cataract

30. Dermatitis herpetiformis (Duhringâ??Broca disease)â??corneal vascularization, cataract 31. Dermochondral corneal dystrophy (of François)â??cataract, corneal dystrophy

32. Diabetes mellitusâ??cataract, corneal edema secondary to rubeosis

33. Diphtheriaâ??keratitis, corneal ulcer, cataract

34. Down syndrome (trisomy 21)â??lens opacities, keratoconus

35. Ehlerâ??Danlos syndrome (fibrodysplasia elastica generalisata)â??microcornea, keratoconus, lens subluxation

36. Electrical injuryâ??corneal perforation, necrosis of cornea, anterior or posterior subcapsular cataracts

37. Endothelial dystrophy and anterior polar cataract (Dohlman)

38. Exfoliation syndrome (capsular exfoliation syndrome)â??cataract, dislocated lens, corneal dystrophy, lens capsule exfoliation

P.407

39. Fabry disease (glycosphingolipid lipidosis)â??cataract, corneal dystrophy

40. Folling syndrome (phenylketonuria)â??corneal opacities, cataracts

41. Fuchs syndrome (I) (heterochromic cyclitis syndrome)â??secondary cataract, edematous corneal epithelium

42. Goldscheider syndrome (epidermolysis bullosa)â??bullous keratitis, corneal subepithelial blisters to corneal perforation, cataract

43. Gorlinâ??Goltz syndrome (multiple basal cell nevi syndrome)â??cataract, corneal leukoma 44. Grönbladâ??Strandberg syndrome (elastorrhexis)â??keratoconus, cataract, subluxation

of lens

45. Hallermannâ??Streiff syndrome (oculomandibulofacial dyscephaly)â??cataracts, microcornea

46. Hanhart syndrome (recessive keratosis palmoplantaris)â??dendritic corneal lesions, keratitis, corneal haze, corneal neovascularization, cataract

47. Heerfordt syndrome (uveoparotid fever)â??band keratopathy, keratoconjunctivitis, cataract

48. Hereditary ectodermal dysplasia syndrome (Siemens syndrome)â??keratosis, corneal erosions, corneal dystrophy, cataract, lens luxation

49. Herpes simplexâ??keratitis, corneal ulcer, cataracts

50. Herpes zosterâ??keratitis, corneal ulcer, cataract

51. Histiocytosis X (Handâ??Schüllerâ??Christian syndrome)â??pannus, bullous keratopathy, corneal ulcer, cataract

52. Hodgkin diseaseâ??keratitis, cataract

53. Homocystinuria syndromeâ??dislocated lens, cataract, keratitis

54. Hutchinsonâ??Gilford syndrome (progeria)â??cataract, microcornea

55. Hydatid cyst (echinococcosis)â??keratitis, corneal abscess, cataract

56. Hypervitaminosis Dâ??band keratopathy, cataract

57. Hypoparathyroidismâ??keratitis, cataract

58. Hypophosphatasia (phosphoethanolaminuria)â??cataract, corneal subepithelial

calcifications

59. Influenzaâ??keratitis, cataract

60. Jadassohn-type anetodermalâ??keratoconus, cataract

61. Jadassohnâ??Lewandowsky syndrome (pachyonychia congenita)â??corneal dyskeratosis, cataract

62. *Juvenile rheumatoid arthritis (Still disease)â??band keratopathy, cataract 63. Kussmaul disease (periarteritis nodosa)â??corneal ulcer, cataract

64. Kyrle disease (hyperkeratosis penetrans)â??subcapsular cataracts, subepithelial corneal opacities

65. Leber congenital amaurosisâ??cataracts, keratoconus

66. Leri syndrome (carpal tunnel syndrome)â??corneal clouding, cataract

67. Listerellosis (listeriosis)â??keratitis, corneal abscess and ulcer, cataract

68. Little syndrome (nail-patella syndrome)â??microcornea, keratoconus, cataract 69. *Lowe syndrome (oculocerebrorenal syndrome)â??cloudy cornea, cataracts,

megalocornea, corneal dystrophy

70. Malariaâ??keratitis, cataract

71. Marchesani syndrome (brachymorphy with spherophakia)â??lenticular myopia, ectopia lentis, megalocornea, corneal opacity

72. Marfan syndrome (arachnodactyly-dystrophia-mesodermalis congenita)â??lens dislocation, cataract, megalocornea, lenticular myopia

P.408

73. Matsoukas syndrome (oculocerebroarticuloskeletal syndromes)â??cataract, corneal sclerosis

74. Meckel syndrome (dysencephalia splanchnocystic syndrome)â??sclerocornea, microcornea, cataract

75. Micro syndrome (autosomal recessive microcephaly, microcornea, congenital cataract, mental retardation, optic atrophy, and hypogenitalism)

76. Morbilli (rubeola, measles)â??corneal ulcer, cataract

77. Mucolipidosis IV (ML IV)â??corneal clouding, cataract

78. Myotonic dystrophy (Curschmannâ??Steinert syndrome)â??lens opacity, corneaâ??epithelial dystrophy

79. Nematode ophthalmia syndrome (toxocariasis)â??cataract, larvae present in the cornea 80. Neurodermatitis (lichen simplex chronicus)â??keratoconjunctivitis, atopic cataracts,

keratoconus

81. Neurofibromatosis 1

82. Neurofibromatosis 2

83. Ocular toxoplasmosis (toxoplasmosis)â??keratitis, cataract

84. Oculodental syndrome (Peter syndrome)â??macrocornea, opacities of the corneal margin,

ectopic lentis, corneoscleral staphyloma

85. O'Donnellâ??Pappas syndromeâ??presenile cataract, peripheral corneal pannus

86. Paget syndrome (osteitis deformans)â??corneal ring opacities, cataract

87. Passow syndrome (status dysraphicus syndrome)â??neuroparalytic keratitis, zonular cataract

88. Pemphigus foliaceus (Cazenave disease)â??pannus, corneal infiltration, cataract 89. Peter anomaly (anterior chamber cleavage syndromeâ??lens apposition to leukoma

90. Pigmentary ocular dispersion syndrome (pigmentary glaucoma)â??Krukenberg spindle, equatorial pigmentation of lens capsule

91. Pseudohypoparathyroidism (Seabrightâ??Bantan syndrome)â??punctate cataracts, keratitis

92. Radiationâ??corneal ulcer, punctate keratitis, cataracts, exfoliation of lens capsule 93. Refsum syndrome (phytanic acid oxidase deficiency)â??corneal opacities, cataracts 94. Relapsing polychondritisâ??corneal ulcer, cataracts, keratoconjunctivitis sicca

95. Retinal disinsertion syndromeâ??lens subluxation, keratoconus

96. Retrolental fibroplasia (RLF)â??cataracts, corneal opacification

97. Rieger syndrome (dysgenesis mesodermalis corneae et irides)â??microcornea, corneal opacities in Descemet membrane, dislocated lens

98. Romberg syndrome (facial hemiatrophy)â??neuroparalytic keratitis, cataracts

99. Rothmund syndrome (telangiectasiaâ??pigmentationâ??cataract syndrome)â??cataract, corneal lesions

100. *Rubella syndrome (German measles)â??corneal haziness, cataracts, microcornea 101. Sabinâ??Feldman syndromeâ??posterior lenticonus, microcornea

102. Sanfilippoâ??Good syndrome (mucopolysaccharidosis III)â??deposits in cornea and lens 103. Schafer syndrome (keratosis palmoplantaris syndrome)â??lesions in the lower portion of

the cornea, cataract

104. Schaumann syndrome (sarcoidosis syndrome)â??keratitis sicca, band-shaped keratitis, complicated cataract

105. Scheie syndrome (mucopolysaccharidosis IS)â??diffuse haze to marked corneal clouding, cataracts

106. Siderosis (intraocular iron foreign body)â??iron deposition in lens and cornea

107. Stannus cerebellar syndromeâ??corneal vascularization, corneal opacities, cataracts P.409

108. Steroidsâ??cataract, may worsen certain types of corneal infections

109. Stevensâ??Johnson syndrome (erythema multiforme exudativum)â??keratitis, corneal ulcers, cataracts, pannus

110. Stickler syndrome (hereditary progressive arthro-ophthalmopathy)â??keratopathy, cataracts

111. Thioridazineâ??corneal and lens opacities

112. Toxic lens syndromeâ??pigment precipitation on the surface of an intraocular lens, chronic uveitis

113. Trisomy syndromeâ??corneal and lens opacities

114. Turner syndrome (gonadal dysgenesis)â??corneal nebulae, cataracts

115. Ultraviolet radiationâ??band keratopathy, keratitis, discoloring of lens

116. van Bogaertâ??Schererâ??Epstein syndrome (familial hypercholesterolemia syndrome)â??lipid keratopathy, cataract, juvenile corneal arcus

117. von Recklinghausen syndrome (neurofibromatosis)â??nodular swelling of corneal nerves, cataracts

118. Waardenburg syndrome (interoculoiridodermatoauditive dysplasia)â??microcornea, cornea plana, lenticonus

119. Wagner syndrome (hereditary hyaloideoretinal degeneration and palatoschisis)â??corneal degeneration, including band-shaped keratopathy, cataracts

120. Ward syndrome (nevus jaw cyst syndrome)â??congenital cataracts, congenital corneal opacities

121. Wegener syndrome (Wegener granulomatosis)â??corneal ulcer, corneal abscess, cataract 122. Weil disease (leptospirosis)â??keratitis, cataract

123. Werner syndrome (progeria of adults)â??juvenile cataracts, bullous keratitis, trophic corneal defects

124. *Wilson disease (hepatolenticular degeneration)â??sunflower cataract, Kayser-Fleischer ring

125. Yersiniosisâ??corneal ulcer, cataract

126. Zellweger syndrome (cerebrohepatorenal syndrome of Zellweger)â??corneal opacities, cataract

Dolan BJ, et al. Amiodarone keratopathy and lens opacities. J Am Optom Assoc 1985;56:468â??470.Bibliographic Links

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

Warburg M, et al. Autosomal recessive microcephaly, microcornea, congenital cataract, mental retardation, optic atrophy, and hypogenitalism-Micro syndrome. Am J Dis Child 1993;147:309â??312.

Drugs Associated with Cataracts

Acetophenazine

bacille Calmetteâ??Guérin

butaperazine

(phenothiazine)

(BCG)vaccine (?)

 

 

 

cactinomycin

acetohexamide

beclomethasone

calcitriol (?)

acetylcholine

benoxinate

carbachol

adrenal cortex injection

benzodiazepine

carbamazepine (?)

alcohol

benzphetamine (?)

carbromal(?)

aldosterone

betamethasone

carphenazine

allopurinol

betaxolol (?)

chloroprocaine

amiodarone (?)

bleomycin

chlorpropamide

amodiaquine

bupivacaine

chloroquine

azathioprine (?)

busulfan

chlorphentermine (?)

chlorpromazine

ibuprofen (?)

piperacetazine

chlorpromazine

indomethacin (?)

piperazine (?)

chlorprothixene

isofluorphate

prazosin (?)

cholecalciferol (?)

isotretinoin (?)

prednisolone

clomiphene (?)

levobunolol (?)

prednisone (steroid)

cobalt

lidocaine

prilocaine

colchicine(?)

lithium carbonate(?)

procaine

cortisone

lysergic acid diethylamide (LSD)

prochlorperazine

danazol(?)

 

promazine

deferoxamine

lysergide

promethazine

demecarium

medrysone

propiomazine

desoxycorticosterone

megestrol acetate

propoxycaine

dexamethasone

mephenytoin (?)

piperocaine

dextrothyroxine (?)

mepivacaine

psilocybin

diisopropyl

meprednisone

PUVA (psoralens and

flurophosphate (DFP)

 

ultraviolet A) (?)

 

mescaline

 

diazoxide

mesoridazine

quinacrine

dibucaine

methdilazine

silicone

diethazine

methotrimeprazine

sulfonamides (maternal

 

 

ingestion)

diethylpropion (?)

methoxsalen (?)

 

doxorubicin

methylergonovine (?)

sulindac (?)

droperidol (?)

methylprednisolone

tamoxifen

dyclonine

methysergide (?)

tetracaine

echothiophate

mitomycin C (topical) (?)

thiethylperazine

ergocalciferol

mitotane

thiopropazate

ergonovine (?)

naltrexone

thioproperazine

ergot (?)

naproxen (?)

thioridazine

ergotamine (?)

neostigmine

thiothixene

ethopropazine

neostigmine

timolol (?)

ethotoin

nifedipine (?)

tolazamide

etidocaine

oral contraceptives (?)

tolbutamide

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