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.
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Diagnostic table
Dislocated lens
View Table
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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
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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
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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
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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
Acetophenazine |
bacille Calmetteâ??Guérin |
butaperazine |
(phenothiazine) |
(BCG)vaccine (?) |
|
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|
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 |
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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 |

