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

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

Vargas ME, et al. Homonymous field defect as the first manifestation of Creutzfeldt-Jakob disease. Am J Ophthalmol 1995;119:497â??504.Bibliographic Links

Spiral-Field Defects

1. *Hysteria

2. Radiation therapy in or about the retina, optic nerve, and anterior visual pathways

Fitzgerald CR, et al. Radiation therapy in and about the retina, optic nerve, and anterior visual pathway. Arch Ophthalmol 1981;99:611â??623.Bibliographic Links

Double Homonymous Hemianopia

This condition involves peripheral constriction with small vertical steps above and below fixation as a result of lesions of the occipital area and probable involvement of striate cortex of both occipital lobes.

1. Bilateral central retinal artery occlusion

2. Bilateral central retinal vein occlusion P.615

3. Bilateral vascular lesions involving a calcarine fissure

4. Increased intracranial pressure with shift of uncal portion of temporal lobe down over edge of tentorium with compression of posterior cerebral arteries and infarction in calcarine cortex.

5. Partial recovery from cortical blindness (see p. 632) from trauma, anoxia, carbon monoxide poisoning, cerebral angiography, cardiac arrest, exsanguination, and other similar conditions

6. Severe end-stage glaucoma

7. Severe trauma with massive brain damage as in depressed fracture of occiput

Harrington DO, Drake MV. The visual fields: text and atlas of clinical perimetry, 6th ed. St. Louis: CV Mosby, 1990.

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19

Visual Disturbance

Acquired Myopia*

This condition comprises an error of refraction in which parallel rays of light focus in front of the retina, usually producing blurred distant vision and clear near vision.

1. *Conditions such as diabetes mellitus or nuclear sclerotic cataract in which there is increased index of refraction of lens

2. *Refractive myopiaâ??increased curvature of the refracting surfaces because of the following:

A.Ciliary muscle spasm

1. Functionalâ??adolescence, hysteria

2. Miotics such as carbachol, demecarium, echothiophate, isoflurophate, neostigmine, and physostigmine

3. Traumaâ??ocular contusion or anterior dislocation of the lens 4. Mushroom (Amanita muscaria) poisoning

P.620

B.Lens hydration changesâ??diabetes mellitus, dysentery, or toxemia of pregnancy

C.Drug reactionâ??probably because of ciliary body edema, including the following:

acetazolamide

haloperidol (?)

piperacetazine

acetophenazine

hyaluronidase

polythiazide

adrenal cortexinjection

hyaluronic acid

prednisolone

alcohol

hydrochlorothiazide

prednisone

aldosterone

hydrocortisone

prochlorperazine

aspirin

hydroflumethiazide

promazine

beclomethasone

hydroxypropyl

promethazine

bendroflumethiazide

ibuprofen

propiomazine

benzthiazide

indapamide

quinethazone

betamethasone

isoflurophate

quinine

betaxolol

isosorbide dinitrate

sodium salicylate

butaperazine

isotretinoin

spironolactone

carbachol

levobunolol

sulfacetamide

carphenazine

medrysone

sulfachlorpyridazine

chlorothiazide

meprednisone

sulfacytine

chlorpromazine

mesoridazine

sulfadiazine

chlortetracycline

methacholine

sulfadimethoxine

chlorthalidone

methacycline

sulfamerazine

cimetidine (?)

methazolamide

sulfameter

clofibrate

methdilazine

sulfamethazine

codeine

methotrimeprazine

sulfamethizole

cortisone

methsuximide

sulfamethoxazole

cyclothiazide

methyclothiazide

sulfamethoxypyridazine

demecarium

methylcellulose

sulfanilamide

demeclocycline

methylprednisolone

sulfaphenazole

desoxycorticosterone

metolazone

sulfapyridine

dexamethasone

minocycline

 

dichlorphenamide

morphine

sulfasalazine

diethazine

neostigmine

sulfathiazole

digitalis (?)

opium

sulfisoxazole

doxycycline

oral contraceptives

tetracycline

droperidol (?)

oxygen

thiethylperazine

echothiophate

oxytetracycline

thiopropazate

ethopropazine

paramethasone

thioproperazine

ethosuximide

penicillamine

thioridazine

ethoxzolamide

perazine

timolol

etretinate

pericyazine

triamcinolone

fludrocortisone

perphenazine

trichlormethiazide

fluorometholone

phenformin

trifluoperazine

fluphenazine

phensuximide

trifluperidol (?)

fluprednisolone

physostigmine

triflupromazine

glibenclamide

pilocarpine

trimeprazine

 

 

 

P.621

 

 

D.Elongated globe

E.Paralysis of accommodation for distance (sympathetic paralysis)â??young patient with unilateral Homer syndrome or migraine

F.Retinopathy of prematurity (retrolental fibroplasia)

G.Congenital glaucoma

H.Albinism

I.Gyrate atrophy (ornithine ketoacid aminotransferase deficiency)

J.Hypoparathyroidism

K.Malaria

L.Inherited

1. Cochlear deafness with myopia and intellectual impairmentâ??autosomal recessive 2. Epiphyseal dysplasia of femoral heads, myopia, deafnessâ??autosomal recessive 3. Epiphyseal dysplasia, multiple, with myopia and conductive deafnessâ??autosomal

dominant

4. Microcornea and cataractâ??autosomal dominant

5. Microphthalmos with myopia and corectopiaâ??autosomal dominant 6. Myopiaâ??autosomal recessive or dominant or less often X-linked 7. Night blindness, congenital stationary with myopia

(nyctalopiaâ??myopia)â??X-linked

8. Night blindness with high-grade myopiaâ??autosomal recessive

9. Pinguecula blindness (total color blindness with myopia, achromatopsia with myopia)â??autosomal recessive

M. With scleral buckling surgery

3. Syndromes associated with myopia

A.Aberfeld syndrome (congenital blepharophimosis)

B.Achard syndrome (Marfan syndrome with mandibulofacial dysostosis)

C.Alport syndrome (hereditary familial congenital hemorrhagic nephritis)

D.Blochâ??Sulzberger syndrome

E.Chromosome partial deletion (long-arm) syndrome

F.Cohen syndrome

G.Cri-du-chat syndrome

H.de Lange syndrome (congenital muscular hypertrophy cerebral syndrome)

I.Down syndrome (trisomy syndrome)

J.Ehlersâ??Danlos syndrome (fibrodysplasia elastica generalisata)

K.Fetal alcohol syndrome

L.Forsiusâ??Eriksson syndrome (Aland disease)

M.Gansslen syndrome (familial hemolytic icterus)

N.Haneyâ??Falls syndrome (congenital keratoconus posticus circumscriptus)

O.Homocystinuria

P.Hypomelanosis of Ito syndrome

Q.Kartagener syndrome (sinusitis, bronchiectasis, situs inversus syndrome)

R.Kniest syndrome

S.Laurenceâ??Moonâ??Bardetâ??Biedl syndrome (retinitis pigmentosaâ??polydactylyâ??adiposogenital syndrome)

T.Marchesani syndrome (brachymorphy with spherophakia)

U.Marfan syndrome (arachnodactyly dystrophia mesodermalis congenita)

P.622

V. Marshall syndrome (atypical ectodermal dysplasia)

W. Matsoukas syndrome (oculocerebroarticuloskeletal syndrome)

X.Myasthenia gravis (Erbâ??Goldflam syndrome)

Y.Noonan syndrome (male Turner syndrome)

ZZ.Obesity-cerebral-ocular-skeletal anomalies syndrome AA. Oculodental syndrome (Peter syndrome)

BB.Pierre Robin syndrome (micrognathiaâ??glossoptosis syndrome)

CC.Pigmentary ocular dispersion syndrome

DD.Rubinsteinâ??Taybi syndrome (broad-thumbs syndrome)

EE.SED congenita (spondyloepiphyseal dysplasia, congenital type)â??autosomal dominant

FF.Scheie syndrome

GG.Schwartz syndrome (glaucoma associated with retinal detachment)

HH.Siemens syndrome (hereditary ectodermal dysplasia syndrome)â??autosomal recessive

II.Smithâ??Magenis syndrome

JJ.Stickler syndrome (hereditary progressive arthroophthalmopathy)â??autosomal dominant

KK. Trisomy 20p syndrome

LL.Trisomy syndrome

MM.Tuomaalaâ??Haapanen syndrome (unknown etiology, similar to pseudohypoparathyroidism)

NN.Van Bogaertâ??Hozoy syndrome (similar to Rubinsteinâ??Taybi syndrome)

OO.Wagner syndrome (hyaloideoretinal degeneration)

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

QQ.Wrinkly-skin syndrome

RR.XXXXY syndrome (hypogenitalism, limited elbow pronation, low dermal finger tip ridge count)

4. Transient myopia

A.Chemical agents and disease

B.*Diabetes

C.*After surgery

D.Trauma

Chow DR, et al. Refractive changes associated with scleral buckling and division in retinopathy of prematurity. Arch Ophthalmol 1998;116:1446â??1450.Bibliographic Links

Finucane BM, Jaeger ER. Smith-Magenis syndrome. Ophthalmology 1997;104:732â??733.Bibliographic Links

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.

Sorenson AL, et al. Ultrasonographic measurement of induced myopia associated with capsular bag distention syndrome. Ophthalmology 2000;107:902â??908.Bibliographic Links

Acquired Hyperopia

This condition comprises far-sightedness and error of refraction in which parallel rays of light focus behind the retina, usually producing clear distant vision and blurred near vision.

1. Aarskog syndrome (facialâ??digitalâ??genital syndrome)

2. Adie syndrome (tonic pupil) P.623

3. *Aphakia

4. Best syndrome (vitelliform dystrophy)

5. *Diabetes mellitus (poorly controlled to controlled)

6. Down syndrome (mongolism)

7. Drugs, including the following:

antihistamines

sulfachlorpyridazine (?)

sulfanilamide (?)

cannabis

sulfadiazine (?)

sulfaphenazole (?)

chloroquine

sulfadimethoxine (?)

sulfapyridine (?)

ergot

sulfamerazine

sulfasalazine (?)

imipramine

sulfameter (?)

sulfathiazole (?)

meprobamate

sulfamethazine

sulfisoxazole (?)

parasympatholytic drugs

sulfamethizole

tolbutamide (?)

 

penicillamine

sulfamethoxazole

 

phenothiazine

sulfamethoxypyridazine (?)

8.

Flat cornea

 

9.

Gorlinâ??Chaudhryâ??Moss syndrome (multiple basal cell nevi syndrome)

10.

*Hyperopiaâ??refractive or axial

 

11.

Hypoglycemia

 

12.

Kenny syndrome (nanophthalmos with hyperopia)

13.

Leber congenital amaurosis

 

14.

Lesions causing internal ophthalmoplegia with paralysis of accommodation

15.

Macular edema

 

16.

Orbital tumor with extraocular globe pressure and retinal striae

17.

Postsurgical correction of myopia (retinal keratotomy, automated lamella keratoplasty,

 

photoreactive keratectomy)

 

18.

*Presbyopia

 

19.

Rubinsteinâ??Taybi syndrome

 

20.

Sorsby syndrome (hereditary macular coloboma syndrome)

21.

Toxin of Clostridium botulinum

 

22.

Trauma to the eye with posterior dislocation of the lens, macular edema, or ciliary body

 

contusion

 

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

John ME. High hyperopia after radial keratotomy. J Cataract Refract Surg 1993;19:446â??448.Bibliographic Links

Newell FW. Ophthalmology: principles and concepts, 8th ed. St. Louis: CV Mosby, 1992.

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

Dysmegalopsiaâ??Optical Illusions of Size

1. Macropsia (objects appear larger)

A.*Miotics

B.*Spasm of accommodation (see p. 416â??417)

C.Use of excessive plus lenses

2. Metamorphopsia (objects appear distorted)

A. Cerebral

1. Drug intoxications

2. Epilepsy

3. Focal lesions such as thrombosis of right middle cerebral artery P.624

4. Migraine

5. Parietal lobe lesion, including tumor and vascular lesion 6. Schizophrenia

B.Hysteria

C.Ocular

1. Astigmatism

2. *Macular lesions, including orbital tumor with macular striae and macular edema, inflammation, heterotopia or hole

3. Posterior vitreous separation and residual vitreoretinal macular traction 4. Retinal detachment

D.Paget disease (osteitis deformans)

3. Micropsia (objects appear smaller)

A.Accommodative paralysis and subnormal accommodation

B.Atropinization

C.Botulism

D.Diphtheria

E.*Presbyopia

F.Use of excessive minus lenses

G.Use of scopolamine

4. Teleopsia (objects appear farther away than they actually are)

A.Bilateral parietal lesion

B.Parietal lesion in nondominant hemisphere

Pau H. Differential diagnosis of eye diseases, 2nd ed. New York: Thieme Medical, 1988.

Saito Y, et al. The visual performance and metamorphopsia of patients with macular holes. Arch Ophthalmol 2000;118:41â??44.Bibliographic Links

Walsh FB, Hoyt WF. Clinical neuro-ophthalmology, vol 1, 4th ed. Baltimore: Williams & Wilkins, 1985.

Bilateral Transient Loss of Vision (Transient Darkening of

Vision)

1. *Circulatory disturbances when bending over or straining (postural hypotension) 2. Essential hypotension

A.Arteriosclerosis

B.Chronic hypotension

C.*Fatigue

D.Hormonal disorders

E.Hunger

F.Vitamin deficiency

3. Fainting with vasomotor collapse

4. Heart failure

5. Transurethral resection of the prostate

Creel DJ, et al. Transient blindness associated with transurethral resection of the prostate. Arch Ophthalmol 1987;105:1537â??1539.Bibliographic Links

Levin LA, Moohta V. Postprandial transient visual loss. Ophthalmology 1997;104:397â??401.Bibliographic Links

Pau H. Differential diagnosis of eye diseases, 2nd ed. New York: Thieme Medical, 1988.

Amaurosis Fugax (Transient Monocular Blackout of Vision)

1. Amaurosis fugax syndrome P.625

2. Arteriosclerosis, hypertension, and hypertensive crisis

3. Canalis opticus syndrome: functionalâ??hysteria, neurasthenia

4. *Cerebrovascular insufficiency

A.Arterial aneurysms

B.Congenital or acquired arteriovenous malformations

C.Fibromuscular hyperplasia

D.Post-traumatic acute and chronic arterial occlusion

E.Takayasu syndrome (pulseless disease)

F.*Unilateral occlusive carotid disease

5. Compressive optic neuropathy

6. Corneal surface problems

7. Functionalâ??hysteria, neurasthenia

8. Hematologic causes

A.Emboli

1. Infective, such as subacute bacterial endocarditis

2. Gas in dysbarism

B.Idiopathic thrombocytosis

C.Multiple myeloma (Kahler disease)

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