- •Pediatric Retina
- •Preface
- •1: Development of the Retina
- •1.1 To suppose that the eye . . . could have been formed by natural selection, seems, I freely confess, absurd . . .1
- •1.2 Good order is the foundation of all things2
- •1.3 All that you touch you Change. All that Change Changes you3
- •1.4 Men are born with two eyes, but only one tongue, in order that they should see twice as much as they say4
- •1.7 More than Meets the Optic Vesicle6
- •1.9 Focusing on the Fovea: A Marvel of Development
- •1.10 Nature and Books belong to the eyes that see them7
- •References
- •2: Anatomy and Physiology of the Retina
- •2.1 Introduction
- •2.2 Anatomy of the Retina
- •2.2.2 Cellular Organization of the Retina
- •2.2.2.1 Retinal Pigment Epithelium
- •2.2.2.2 Photoreceptors
- •2.2.2.3 Interneuron Cells
- •2.2.2.4 Ganglion Cells
- •2.2.2.5 Glial Cells
- •2.2.3.1 Bruch’s Membrane
- •2.2.3.2 Retinal Pigment Epithelium
- •2.2.3.3 Photoreceptor Layer
- •2.2.3.4 External Limiting Membrane
- •2.2.3.5 Outer Nuclear Layer
- •2.2.3.6 Outer Plexiform Layer
- •2.2.3.7 Inner Nuclear Layer
- •2.2.3.8 Inner Plexiform Layer
- •2.2.3.9 Ganglion Cell Layer
- •2.2.3.10 Nerve Fiber Layer
- •2.2.5 Blood Supply of the Retina
- •2.2.5.1 Choroidal Circulation
- •2.2.5.2 Hyaloid Circulation
- •2.2.5.3 Retinal Circulation
- •2.2.5.5 Regulation of Blood Flow to the Retina
- •2.2.6 Optic Nerve
- •2.2.6.1 Physiology and Development
- •2.3 Physiology of the Retina
- •2.3.1 The Retinal Pigment Epithelium
- •2.3.3 Image-Forming Visual System
- •2.3.3.1 Detection of Photons by Visual Pigment in the Photoreceptor Cell
- •2.3.3.2 Light Activation of the Photopigment
- •2.3.4 Nonimage-Forming Visual System
- •2.3.5 Targets of Retinal Projections
- •2.4 Retinal Development
- •2.4.2 Foveal Development
- •References
- •3.1 Full-Field ERG
- •3.1.1.1 Rod Response
- •3.1.1.2 Standard Combined Response
- •3.1.1.3 Oscillatory Potentials
- •3.1.1.4 Single-Flash Cone Response
- •3.1.1.5 Light-Adapted Flicker Response
- •3.1.2 Repeat Variability
- •3.1.4 Clinical Uses of the Full-Field ERG
- •3.1.4.2 Stationary Night Blindness
- •3.1.4.3 Enhanced S-Cone Syndrome
- •3.1.4.4 Leber Congenital Amaurosis
- •3.2 Focal and Multifocal ERG
- •References
- •4: Retinopathy of Prematurity (ROP)
- •4.1 Introduction
- •4.2 History
- •4.3 Classification
- •4.4 Incidence
- •4.5 Natural History and Prognosis
- •Disease with Little or No Risk
- •Disease with Moderate Risk
- •Disease with High Risk
- •4.6 Pathogenesis
- •4.7 Screening
- •4.8 Management
- •4.9 Prevention
- •4.10 Interdiction
- •4.11 Corrective Therapy
- •4.12 Mitigation
- •4.13 Medicolegal Considerations
- •4.14 Conclusion
- •References
- •5: Optic Nerve Malformations
- •5.1 Optic Nerve Hypoplasia
- •5.1.1 Overview/Clinical Significance
- •5.1.2 Classification
- •5.1.3 Genetics
- •5.1.4 Pathophysiology
- •5.1.5 Natural History
- •5.1.6 Diagnosis
- •5.1.7 Treatment
- •5.2 Morning Glory Disc Anomaly
- •5.2.1 Overview/Clinical Significance
- •5.2.2 Classification
- •5.2.3 Genetics
- •5.2.4 Pathophysiology
- •5.2.5 Natural History
- •5.2.6 Diagnosis
- •5.2.7 Treatment
- •5.2.8 Associations and Complications
- •5.3 Optic Nerve Head Pits
- •5.3.1 Introduction
- •5.3.2 Overview with Clinical Significance
- •5.3.3 Classification
- •5.3.4 Genetics
- •5.3.5 Pathophysiology
- •5.3.6 Incidence
- •5.3.8 Diagnosis and Diagnostic Aids
- •5.3.9 Treatment
- •5.3.10 Complications and Associations
- •5.4 Optic Disc Coloboma
- •5.4.1 Introduction
- •5.4.2 Genetics
- •5.4.3 Pathophysiology
- •5.4.4 Natural History and Prognosis
- •5.4.5 Diagnosis and Diagnostic Aids
- •5.4.6 Treatment
- •5.5 Optic Nerve Tumor
- •5.5.1 Glioma
- •5.5.1.1 Introduction
- •5.5.2 Overview with Clinical Significance
- •5.5.2.1 Optic Nerve Glioma
- •5.5.2.2 Optic Chiasmal Glioma
- •5.5.3 Pathophysiology
- •5.5.4 Incidence
- •5.5.6 Diagnosis
- •5.5.7 Treatment
- •5.5.8 Social and Family Impact
- •5.6.1 Introduction
- •5.6.3 Pathophysiology
- •5.6.4 Incidence
- •5.6.5 Diagnosis and Diagnostic Aids
- •5.6.6 Treatment
- •5.7 Melanocytoma
- •5.7.1 Introduction
- •5.7.2 Pathophysiology
- •5.7.3 Natural History and Prognosis
- •5.7.4 Diagnosis and Diagnostic Aids
- •5.7.5 Treatment
- •5.8 Metastatic Tumors: Leukemia
- •5.8.1 Introduction
- •5.8.2 Pathophysiology
- •5.8.3 Natural History and Prognosis
- •5.8.4 Treatment
- •5.8.4.1 Other Elevated Disc Anomalies
- •5.9 Drusen
- •5.9.1 Introduction
- •5.9.2 Pathophysiology
- •5.9.3 Natural History and Prognosis
- •5.9.4 Diagnosis and Diagnostic Aids
- •5.10 Hyperopia
- •5.11 Persistence of the Hyaloid System
- •5.12 Tilted Disc
- •5.12.1 Introduction
- •5.12.2 Historical Context
- •5.12.3 Overview with Clinical Significance
- •5.12.4 Genetics
- •5.12.5 Pathophysiology
- •5.12.6 Incidence
- •5.13 Myelinated Nerve Fibers
- •5.13.1 Introduction
- •5.13.2 Genetics
- •5.13.3 Pathophysiology
- •5.13.4 Incidence
- •References
- •6.1.1 Albinism
- •6.1.1.1 Disorders Specific to Melanosomes
- •Hermansky–Pudlak Syndrome
- •Chediak–Higashi Syndrome
- •Diagnosis and Treatment
- •6.1.2 Gyrate Atrophy
- •6.1.3 Cystinosis
- •6.1.3.1 Primary Hyperoxaluria
- •6.2.1 The Gangliosidoses
- •6.2.2 GM1 Gangliosidosis
- •6.2.3 GM2 Gangliosidosis
- •6.2.3.1 Tay–Sachs Disease
- •6.2.4 Sandhoff Disease
- •6.2.5 Niemann–Pick Disease
- •6.2.7 Type C Niemann–Pick Disease
- •6.2.8 Fabry Disease
- •6.2.9 Farber Lipogranulomatosis
- •6.2.10 The Mucopolysaccharidoses
- •6.2.10.1.1 MPS I H: Hurler Syndrome
- •6.2.10.1.2 MPS I S: Scheie Syndrome
- •6.2.10.1.3 MPS I H/S: Hurler–Scheie Syndrome
- •6.2.10.2 MPS II: Hunter Syndrome
- •6.2.10.3 MPS III: Sanfilippo Syndrome
- •6.2.10.4 MPS IV: Morquio Syndrome
- •6.2.10.5 MPS VI: Maroteaux–Lamy Syndrome
- •6.2.10.6 MPS VII: Sly Syndrome
- •6.3 Disorders of Glycoprotein
- •6.3.1 Sialidosis
- •6.4 Disorders of Peroxisomes
- •6.4.1 Refsum Disease
- •References
- •7: Phacomatoses
- •7.1 Introduction
- •7.2 Neurofibromatosis
- •7.2.1 Neurofibromatosis Type 1
- •7.2.1.1 Introduction
- •7.2.1.2 Historical Context
- •7.2.1.3 Overview with Clinical Significance
- •7.2.1.4 Genetics
- •7.2.1.5 Natural History and Prognosis
- •7.2.1.6 Signs and Symptoms
- •7.2.2 Ocular Manifestations
- •7.2.2.1 Lisch Nodules
- •7.2.2.2 Optic Pathway Glioma
- •7.2.2.3 Neurofibroma of the Eyelid and Orbit
- •7.2.3 Systemic Manifestations
- •7.2.3.1 Café-au-lait Spot
- •7.2.3.2 Neurofibroma
- •7.2.3.3 CNS Abnormality
- •Diagnosis and Diagnostic Aids
- •Treatment
- •Social and Family Impact
- •7.2.4 Neurofibromatosis Type 2 (NF2)
- •7.2.4.1 Introduction
- •7.2.4.2 Historical Context
- •7.2.4.3 Overview with Clinical Significance
- •7.2.4.4 Classification
- •7.2.4.5 Genetics
- •7.2.4.6 Incidence
- •7.2.4.7 Natural History and Prognosis
- •7.2.4.8 Signs and Symptoms
- •Ocular Findings
- •Systemic Findings
- •Vestibular Schwannoma
- •Diagnosis and Diagnostic Aids
- •Treatment
- •Complications and Associations
- •Social and Family Impact
- •7.3 Von Hippel–Lindau Disease
- •7.3.1 Introduction
- •7.3.2 Historical Context
- •7.3.3 Overview with Clinical Significance
- •7.3.4 Classification
- •7.3.5 Genetics
- •7.3.6 Pathophysiology
- •7.3.7 Incidence
- •7.3.8 Natural History and Prognosis
- •7.3.9 Signs and Symptoms
- •7.3.9.1 Ocular Manifestations
- •Retinal Capillary Hemangioma
- •7.3.9.2 Systemic Manifestations
- •CNS Hemangioma
- •Renal Cell Carcinoma
- •Pheochromocytoma
- •Pancreatic Cystadenoma and Islet Cell Tumors
- •Epididymis Cystadenoma
- •7.3.10 Diagnosis and Diagnostic Aids
- •7.3.10.1 Coats’ Disease
- •7.3.10.2 Racemose Hemangioma
- •7.3.10.3 Retinal Cavernous Hemangioma
- •7.3.10.4 Retinal Macroaneurysm
- •7.3.10.5 Vasoproliferative Tumor
- •7.3.11 Fluorescein Angiography
- •7.3.12 Indocyanine Green Angiography
- •7.3.13 Ultrasonography
- •7.3.14 Magnetic Resonance Imaging
- •7.3.16 Treatment
- •7.3.17 Observation
- •7.3.18 Laser Photocoagulation
- •7.3.19 Cryotherapy
- •7.3.21 Plaque Radiotherapy
- •7.3.22 Proton Beam Radiotherapy
- •7.3.24 Enucleation
- •7.3.25 Social and Family Impact
- •7.4 Tuberous Sclerosis Complex
- •7.4.1 Introduction
- •7.4.2 Historical Context
- •7.4.3 Overview with Clinical Significance
- •7.4.4 Classification
- •7.4.5 Genetics
- •7.4.6 Incidence
- •7.4.7 Natural History and Prognosis
- •7.4.8 Signs and Symptoms
- •7.4.8.1 Ocular Findings
- •Retinal Astrocytic Hamartoma
- •7.4.8.2 Systemic Findings
- •Dermatologic Manifestations
- •Neurologic Manifestations
- •Visceral Manifestations
- •Diagnosis and Diagnostic Aids
- •Treatment
- •Social and Family Impact
- •7.5 Sturge-Weber Syndrome
- •7.5.1 Introduction
- •7.5.2 Historical Context
- •7.5.3 Overview with Clinical Significance
- •7.5.4 Incidence
- •7.5.5 Genetics
- •7.5.6 Pathophysiology
- •7.5.7 Natural History and Prognosis
- •7.5.8 Signs and Symptoms
- •7.5.8.1 Diffuse Choroidal Hemangioma
- •7.5.8.2 Glaucoma
- •7.5.8.3 Nevus Flammeus
- •7.5.8.4 Leptomeningeal Hemangiomatosis
- •7.5.8.5 Diagnosis and Diagnostic Aids
- •7.5.8.6 Treatment
- •7.5.8.7 Social and Family Impact
- •7.6 Wyburn-Mason Syndrome
- •7.6.1 Introduction
- •7.6.2 Historical Context
- •7.6.3 Overview with Clinical Significance
- •7.6.4 Classification
- •7.6.5 Genetics
- •7.6.6 Pathophysiology
- •7.6.7 Natural History and Prognosis
- •7.6.8 Signs and Symptoms
- •7.6.8.1 Ocular Findings
- •Retinal Arteriovenous Malformation
- •Diagnosis and Diagnostic Aids
- •Treatment
- •7.6.9 Ataxia Telangiectasia
- •7.6.9.1 Introduction
- •7.6.9.2 Historical Context
- •7.6.9.3 Overview with Clinical Significance
- •7.6.9.4 Classification
- •7.6.9.5 Genetics
- •7.6.9.6 Incidence
- •7.6.9.7 Natural History and Prognosis
- •7.6.9.8 Signs and Symptoms
- •7.6.9.9 Diagnosis and Diagnostic Aids
- •7.6.9.10 Treatment
- •7.6.9.11 Social and Family Impact
- •7.7 Retinal Caverous Hemangioma
- •7.7.1 Introduction
- •7.7.2 Historical Context
- •7.7.3 Overview with Clinical Significance
- •7.7.4 Genetics
- •7.7.5 Incidence
- •7.7.6 Natural History and Prognosis
- •7.7.7 Signs and Symptoms
- •7.7.7.1 Ocular Findings
- •7.7.7.2 Systemic Findings
- •Cutaneous Lesions
- •Diagnosis and Diagnostic Aids
- •Treatment
- •References
- •8.1 Introduction
- •8.2 Embryology
- •8.3 Clinical Findings
- •8.3.1 Primary anomalies
- •8.3.2 Secondary findings
- •8.3.3 Differential Diagnosis
- •8.3.3.1 Ancillary Tests
- •8.3.3.2 Prognosis
- •8.3.3.3 Treatment
- •8.4 Practical Surgical Issues
- •8.4.1 The Posterior Surgery
- •References
- •9.1 Introduction
- •9.2 Retinoblastoma Presentation SOP
- •9.2.1 Objective
- •9.2.2 Applicability
- •9.2.3 Scope
- •9.2.4 Clinical Significance
- •9.2.5 Procedures
- •9.2.6 Consequences
- •9.2.7 Related SOPs
- •9.3.1 Objectives
- •9.3.2 Applicability
- •9.3.3 Scope
- •9.3.4 Clinical Significance
- •9.3.5 Procedures
- •9.3.6 Consequences
- •9.3.7 Related SOPs
- •9.4 Genetics of Retinoblastoma SOP
- •9.4.1 Objective
- •9.4.2 Applicability
- •9.4.3 Scope
- •9.4.4 Clinical Significance
- •9.4.5 Procedure
- •9.4.6 Consequences
- •9.4.7 Related SOPs
- •9.5 Screening of Relatives SOP
- •9.5.1 Objective
- •9.5.2 Applicability
- •9.5.3 Scope
- •9.5.4 Clinical Significance
- •9.5.5 Procedure
- •9.5.6 Consequences
- •9.5.7 Related SOPs
- •9.6 Treatment SOP
- •9.7 Enucleation Indications SOP
- •9.7.1 Objective
- •9.7.2 Applicability
- •9.7.3 Scope
- •9.7.4 Clinical Significance
- •9.7.5 Procedure
- •9.7.6 Consequences
- •9.7.7 Related SOPs
- •9.8 Enucleation Technique SOP
- •9.8.1 Objectives
- •9.8.2 Applicability
- •9.8.3 Scope
- •9.8.4 Clinical Significance
- •9.8.5 Procedure
- •9.8.6 Consequences
- •9.8.7 Related SOPs
- •9.9.1 Objectives
- •9.9.2 Applicability
- •9.9.3 Scope
- •9.9.4 Clinical Significance
- •9.9.5 Procedure
- •9.9.6 Consequences
- •9.9.7 Related SOPs
- •9.10 Histopathology Analysis SOP
- •9.10.1 Objectives
- •9.10.2 Applicability
- •9.10.3 Scope
- •9.10.4 Clinical Significance
- •9.10.5 Procedure
- •9.10.6 Consequences
- •9.10.7 Related SOPs
- •9.11 Cryotherapy SOP
- •9.11.1 Objectives
- •9.11.2 Applicability
- •9.11.3 Scope
- •9.11.4 Clinical Significance
- •9.11.5 Procedure
- •9.11.6 Consequences
- •9.11.7 Related SOPs
- •9.12 Laser Therapy SOP
- •9.12.1 Objective
- •9.12.2 Applicability
- •9.12.3 Scope
- •9.12.4 Clinical Significance
- •9.12.5 Procedure
- •9.12.6 Consequences
- •9.12.7 Related SOPs
- •9.13 Local Chemotherapy SOP
- •9.13.1 Objectives
- •9.13.2 Applicability
- •9.13.3 Scope
- •9.13.4 Clinical Significance
- •9.13.5 Procedure
- •9.13.6 Consequences
- •9.13.7 Related SOPs
- •9.14 Systemic Chemotherapy SOP
- •9.14.1 Objectives
- •9.14.2 Applicability
- •9.14.3 Scope
- •9.14.4 Clinical Significance
- •9.14.5 Procedure
- •9.14.6 Consequences
- •9.14.7 Related SOPs
- •9.15 Radiation SOP
- •9.15.1 Objective
- •9.15.2 Applicability
- •9.15.3 Scope
- •9.15.4 Clinical Significance
- •9.15.5 Procedure
- •9.15.6 Consequences
- •9.15.7 Related SOPs
- •9.16.1 Objective
- •9.16.2 Applicability
- •9.16.3 Scope
- •9.16.4 Clinical Significance
- •9.16.5 Procedure
- •9.16.6 Consequences
- •9.16.7 Related SOPs
- •9.17 Follow-Up SOP
- •9.17.1 Objective
- •9.17.2 Applicability
- •9.17.3 Scope
- •9.17.4 Clinical Significance
- •9.17.5 Procedure
- •9.17.6 Consequences
- •9.17.7 Related SOPs
- •References
- •10: Coats’ Disease
- •10.1 Overview
- •10.3 Clinical Aspects
- •10.3.1 Demographics
- •10.3.2 Ocular Findings
- •10.4 Pathology and Pathophysiology
- •10.5 Genetics
- •10.6 Natural History
- •10.8 Management
- •10.9 Systemic Associations
- •10.10 Social and Family Impact
- •10.11 Future Treatment
- •References
- •11.1.1 Stargardt Macular Dystrophy
- •11.1.1.1 Clinical Features: STGD
- •11.1.1.2 Diagnostic Features: STGD
- •11.1.1.3 Differential Diagnosis: STGD
- •11.1.1.4 Inherited Forms: STGD
- •11.1.2 Best Macular Dystrophy
- •11.1.2.1 Clinical Features: BMD
- •11.1.2.2 Diagnostic Features: BMD
- •11.1.2.3 Differential Diagnosis: BMD
- •11.1.2.4 Inherited Forms: BMD
- •11.1.3 Juvenile X-Linked Retinoschisis
- •11.1.3.1 Clinical Features: JXRS
- •11.1.3.2 Diagnostic Features: JXRS
- •11.1.3.3 Differential Diagnosis: JXRS
- •11.1.3.4 Inherited Forms: JXRS
- •11.2.2 Molecular Genetic Testing
- •11.2.3.1 ABCR
- •11.2.3.2 ELOVL4
- •11.2.3.3 PROM1
- •11.2.3.4 BEST-1
- •11.3.1 STGD
- •11.3.3 JXRS
- •11.4.1 STGD Models
- •11.4.2 BMD Models
- •11.4.3 JXRS Models
- •11.5 Phenotypic Diversity
- •11.6 Potential Therapeutics for Juvenile Macular Degenerations
- •References
- •12: Generalized Inherited Retinal Dystrophies
- •12.1 Introduction
- •12.2 Historical Context
- •12.4.1 Retinitis Pigmentosa
- •12.4.1.1 Overview with Clinical Significance
- •12.4.1.2 Genetics
- •12.4.1.3 Pathophysiology
- •12.4.1.4 Prevalence
- •12.4.1.5 Patient History and Evaluation
- •12.4.1.6 Diagnostic Testing
- •12.4.1.7 Treatment
- •12.4.2 Congenital Leber Amaurosis
- •12.4.2.1 Genetics
- •12.4.2.2 Pathophysiology
- •12.4.2.3 Incidence/Prevalence
- •12.4.2.4 Natural History and Prognosis
- •12.4.2.5 Diagnostic Testing
- •12.4.2.6 Treatment
- •12.4.3.1 Genetics
- •12.4.3.2 Pathophysiology
- •12.4.3.3 Incidence
- •12.4.3.4 Natural History and Prognosis
- •12.4.3.5 Diagnostic Testing
- •12.4.3.6 Treatment
- •12.4.3.7 Achromatopsia
- •12.4.4.1 Genetics
- •12.4.4.2 Pathophysiology
- •12.4.4.3 Incidence
- •12.4.4.4 Evaluation and Prognosis
- •12.4.4.5 Diagnostic Testing
- •12.4.4.6 Treatment
- •12.4.4.7 Complications and Disease Associations
- •12.4.4.8 Social Considerations
- •References
- •13: Vitreoretinal Dystrophies
- •13.1 Stickler Syndrome
- •13.1.1 Introduction
- •13.1.2 Historical Context
- •13.1.3 Overview with Clinical Significance
- •13.1.4 Classification
- •13.1.5 Genetics
- •13.1.6 Pathophysiology
- •13.1.7 Incidence
- •13.1.8 Natural History and Prognosis of STK (Signs, Symptoms, Timing, etc.)
- •13.1.9 Diagnosis and Diagnostic Aids
- •13.1.10 Treatment
- •13.1.11 Complications and Associations
- •13.1.12 Social and Family Impact
- •13.2 Wagner Disease
- •13.2.1 Introduction
- •13.2.2 Historical Context
- •13.2.3 Overview with Clinical Significance
- •13.2.4 Classification
- •13.2.5 Genetics
- •13.2.6 Pathophysiology
- •13.2.7 Incidence
- •13.2.9 Diagnosis and Diagnostic Aids
- •13.2.10 Treatment
- •13.2.11 Complications and Associations
- •13.2.12 Social and Family Impact
- •13.3 Juvenile X-Linked Retinoschisis
- •13.3.1 Introduction
- •13.3.2 Historical Context
- •13.3.3 Overview with Clinical Significance
- •13.3.4 Classification
- •13.3.5 Genetics
- •13.3.6 Pathophysiology
- •13.3.7 Incidence
- •13.3.9 Diagnosis and Diagnostic Aids
- •13.3.10 Treatment
- •13.3.11 Complications and Associations
- •13.3.12 Social and Family Impact
- •13.4.1 Introduction
- •13.4.2 Historical Context
- •13.4.3 Overview with Clinical Significance
- •13.4.4 Classification
- •13.4.5 Genetics
- •13.4.6 Pathophysiology
- •13.4.7 Incidence
- •13.4.9 Diagnosis and Diagnostic Aids
- •13.4.10 Treatment
- •13.4.11 Complications and Associations
- •13.4.12 Social and Family Impact
- •13.5 Goldmann-Favre Syndrome
- •13.5.1 Introduction
- •13.5.2 Historical Context
- •13.5.3 Overview with Clinical Significance
- •13.5.4 Classification
- •13.5.5 Genetics
- •13.5.6 Pathophysiology
- •13.5.7 Incidence
- •13.5.9 Diagnosis and Diagnostic Aids
- •13.5.10 Treatment
- •13.5.11 Complications and Associations
- •13.5.12 Social and Family Impact
- •13.6 Incontinentia Pigmenti (IP)
- •13.6.1 Introduction
- •13.6.2 Historical Context
- •13.6.3 Overview with Clinical Significance
- •13.6.4 Classification
- •13.6.5 Genetics
- •13.6.6 Pathophysiology
- •13.6.7 Incidence
- •13.6.9 Diagnosis and Diagnostic Aids
- •13.6.10 Treatment
- •13.6.11 Complications and Associations
- •13.6.12 Social and Family Impact
- •13.7.9 Diagnosis and Diagnostic Aids
- •13.7.10 Treatment
- •13.7.11 Complications and Associations
- •13.7.12 Social and Family Impact
- •References
- •14.1 Introduction
- •14.2 Clinical Course
- •14.3 Differential Diagnosis
- •14.4 Pathology
- •14.5 Selected Conditions
- •14.6 Treatment
- •References
- •15: Proliferative Retinopathies in Children
- •15.1 Introduction
- •15.2 Historical Context
- •15.3 Overview with Clinical Significance
- •15.4 Classification
- •15.5 Genetics (table 15.1)
- •15.5.1 Pathophysiology
- •15.5.2 Natural History and Prognosis
- •15.5.3 Diabetes Mellitus
- •15.5.4 Sickle Cell Disease
- •15.5.5 Incontinentia Pigmenti
- •15.6 Complications and Associations
- •15.7 Social and Family Impact
- •References
- •16: Infectious Diseases of the Pediatric Retina
- •16.1 Introduction
- •16.2 Protozoal Diseases
- •16.2.1 Toxoplasma gondii
- •16.2.1.1 Life Cycle and Transmission
- •16.2.1.2 Epidemiology
- •16.2.1.3 Congenital Infection
- •16.2.1.4 Ocular Disease
- •16.2.1.5 Immunocompromised Patients
- •16.2.1.6 Diagnosis of Ocular Toxoplasmosis
- •16.2.1.7 Treatment
- •16.2.1.8 Treatment in Special Situations
- •16.3 Viral Diseases
- •16.3.1 Cytomegalovirus Retinitis
- •16.3.1.1 Congenital CMV Infection
- •16.3.1.2 Ocular Manifestations
- •16.3.1.3 Acquired CMV Infection
- •16.3.1.4 Ocular Disease
- •16.3.1.5 Pathology
- •16.3.1.6 Diagnosis
- •16.3.1.7 Therapy
- •16.3.2 Varicella Zoster Virus
- •16.3.2.1 Ocular Manifestations
- •16.3.3 Herpes Simplex Virus
- •16.3.3.1 Ocular Disease
- •16.3.4 Acute Retinal Necrosis
- •16.3.4.1 Clinical Presentation
- •16.3.4.2 Diagnosis
- •16.3.4.3 Treatment
- •16.3.5 HIV Infection
- •16.3.5.1 Ocular Manifestations
- •16.3.5.2 Noninfectious HIV Microangiopathy
- •16.3.6 Measles
- •16.3.7 Rubella
- •16.3.7.1 Congenital Rubella Syndrome
- •16.4 Parasitic Infection
- •16.4.1 Toxocariasis
- •16.4.1.1 Ocular Involvement
- •16.4.1.2 Diagnosis
- •16.4.1.3 Differential Diagnosis
- •16.4.1.4 Treatment
- •16.4.2 Onchocerciasis
- •16.4.2.1 Ocular Manifestations
- •16.4.2.2 Diagnosis and Treatment
- •16.5 Bacterial Diseases
- •16.5.1 Syphilis
- •16.5.1.1 Clinical Manifestations
- •16.5.1.2 Congenital Syphilis
- •16.5.1.3 Acquired Syphilis
- •16.5.1.4 Diagnosis
- •16.5.1.5 Syphilis and AIDS
- •16.5.1.6 Treatment
- •16.5.2 Tuberculosis
- •16.5.2.1 Ocular Manifestation
- •16.5.2.2 Diagnosis
- •16.5.2.3 Tuberculosis and AIDS
- •16.5.2.4 Treatment
- •16.6 Rare Childhood Bacterial Diseases
- •16.6.1 Brucellosis
- •16.6.2 Leptospirosis
- •16.6.3 Lyme Disease
- •16.6.4 Cat Scratch Disease
- •16.7 Fungal Disease
- •16.7.1 Histoplasmosis
- •16.7.1.1 Ocular Histoplasmosis Syndrome (OHS)
- •16.7.1.2 Diagnosis and Treatment
- •16.7.2 Fungal Endophthalmitis
- •16.7.2.1 Endogenous Fungal Endophthalmitis
- •Candidiasis
- •Ocular Features
- •Diagnosis and Treatment
- •Rare Causes of Endogenous Endophthalmitis
- •Aspergillosis
- •Cryptococcosis
- •Histoplasmosis
- •Pneumocystis carinii
- •North American Blastomycosis
- •Coccidiomycosis
- •Other Fungal Infections
- •16.7.2.2 Exogenous Fungal Endophthalmitis
- •16.8 Rickettsial Disease
- •References
- •17.1 Introduction
- •17.2 Age of Victims
- •17.4 Perpetrators
- •17.5 Brain Injury
- •17.6 Skeletal Injuries
- •17.7 Acute Ophthalmic Findings
- •17.8 Dating of Retinal Hemorrhages
- •17.9 Treatment of Retinal Hemorrhages
- •17.10 Late Ophthalmic Findings
- •17.13 The Role of the Ophthalmologist
- •References
- •18: Pediatric Retinal Trauma
- •18.1 Introduction
- •18.2 Epidemiology
- •18.3 Etiology of Trauma
- •18.3.1 Sports
- •18.3.2 Assault
- •18.3.3 Birth Trauma
- •18.3.4 Projectile Injury
- •18.3.5 Miscellaneous Causes
- •18.3.6 Sympathetic Ophthalmia
- •18.4 Closed Globe Injuries
- •18.4.1 Traumatic Macular Hole
- •18.4.2 Commotio Retinae
- •References
- •19: Pediatric Uveitis
- •19.1 General Introduction
- •19.2 Classification
- •19.3 Social and Family Impact
- •19.4 Noninfectious
- •19.4.1 Juvenile Rheumatoid Arthritis
- •19.4.1.1 Historical Context
- •19.4.1.2 Clinical Findings/Natural History
- •Subtypes of JRA (Table 19.2) .
- •Screening Guidelines
- •Pathophysiology
- •Diagnosis/Treatment
- •Genetics
- •Complications
- •19.4.2 HLA-B27-Associated Uveitis
- •19.4.2.1 Historical Context
- •19.4.2.2 Clinical Findings/Natural History
- •Pathophysiology/Genetics
- •Diagnosis/Treatment/Complications
- •19.4.3 Tub ulointerstitial Nephritis and Uveitis (TINU)
- •19.4.3.1 Historical Context
- •19.4.3.2 Clinical Findings/Natural History
- •Pathophysiology/Genetics
- •Diagnosis/Treatment/Complications
- •19.4.4 Sarcoidosis
- •19.4.4.1 Historical Context
- •19.4.4.2 Clinical Findings/Natural History
- •Pathophysiology
- •Genetics
- •Diagnosis/Treatment/Complications
- •19.4.5 Pars Planitis
- •19.4.5.1 Historical Context
- •19.4.5.2 Clinical Findings/Natural History
- •Pathophysiology/Genetics
- •Diagnosis
- •Treatment
- •Step 1
- •Step 2
- •Step 3
- •Step 4
- •Complications
- •19.5 Infectious
- •19.5.1 Toxoplasmosis
- •19.5.1.1 Historical Context/Pathophysiology
- •19.5.1.2 Clinical Findings/Natural History
- •Genetics
- •Diagnosis/Treatment/Complications
- •19.5.2 Toxocariasis
- •19.5.2.1 Historical Context/Pathophysiology
- •19.5.2.2 Clinical Findings/Natural History
- •Genetics
- •Diagnosis/Treatment/Complications
- •19.5.3 Bartonella henselae
- •19.5.3.1 Historical Context/Pathophysiology
- •19.5.3.2 Clinical Findings/Natural History
- •Genetics
- •Diagnosis/Treatment/Complications
- •19.5.4.1 Historical Context/Pathophysiology
- •19.5.4.2 Clinical Findings/Natural History
- •Genetics
- •Diagnosis/Treatment/Complications
- •19.5.5 Congenital Ocular Syphilis
- •19.5.5.1 Historical Context/Pathophysiology
- •19.5.5.2 Clinical Findings/Natural History
- •Genetics
- •Diagnosis/Treatment/Complications
- •References
- •Index
Index
A
Abetalipoproteinemia, 156 Abuse, 410, 416, 419
Abusive head trauma (AHT), 409–419 Achromatopsia, 306, 309
Acquired immune deficiency syndrome (AIDS), 365–367, 369, 370, 372, 377, 385–387, 389, 390, 392
Acute retinal necrosis (ARN), 375–377 Acyclovir, 375, 376
AHT. See Abusive head trauma
AIDS. See Acquired immune deficiency syndrome Alagille syndrome, 303
Albinism, 147–148 All-trans retinal, 54 Alstrom disease, 303 Amino acid, 147–150, 157
ANA. See Anti-nuclear antibody Angiogenesis, 46
Angiography, 170, 182, 183 Angioid streaks, 345, 346
Angiomatosis, 159, 166, 167, 176–178 Anti-nuclear antibody (ANA), 435, 436, 440 Arginine, 149
Argyl Robinson pupil, 385 ARN. See Acute retinal necrosis Ash leaf, 174
Aspergillus, 392
Astrocytes, 42–44, 46, 48, 59
Astrocytoma, 162, 173, 175 Ataxia telangiectasia, 160, 180 Autoregulation, 48, 49
B
Bardet-Biedl syndrome, 301–303 Bartonella, 388, 449–451 Bassen-Kornzweig, 303, 310 Bergmeister papilla, 193, 194
Best dystrophy, 246, 248–252, 256, 260, 265, 274, 275, 277, 279–281, 283, 284
Bipolar cells, 41, 43, 50, 55, 56, 59 Birth trauma, 424
Birth weight, 94, 95, 97, 98, 100, 104, 105 Black flies, 381, 382
Blastomyces, 393 Borrelia, 388 Brucella, 387
Brucellosis, 387
Bruch’s membrane, 40, 42, 46, 50, 53, 345–349
C
Café-au-lait, 161–163 Candida, 370, 390, 391, 393 Candle wax drippings, 439 Cats, 361, 362, 379, 388
Cat Scratch disease, 388–389 CD4, 369, 370
CHARGE, 126 Chediak-Higashi, 148, 149
Child abuse, 410, 411, 415–417, 419 Choroideremia, 300, 307–309 Chronologic age, 97, 98, 100, 103, 104 Cilioretinal vessels, 45
Circle of Zinn, 48 11-Cis retinal, 51 Clindamycin, 366
CMV. See Cytomegalovirus Coat’s disease
classification in, 235–236 differential in, 239–240 genetics in, 238–239 treatment in, 237, 240, 241
Coccidiomyces, 393 Cockayne syndrome, 303 Commotio, 427–428
Congenital Leber amaurosis (LCA), 296, 297, 299, 300, 303–305, 309
Congenital stationary night blindness (CSNB), 295–297, 299, 305–306, 309
CRYO-ROP. See Cryo therapy for ROP
Cryo therapy for ROP (CRYO-ROP), 87, 91, 94, 95, 97–100, 103–108, 110
Cryptococcus, 392
CSNB. See Congenital stationary night blindness Cyclopia, 4, 6, 8–10
Cyclosporine, 225, 228, 229 Cystinosis, 149–150
Cytomegalovirus (CMV), 365, 367–372, 375
D
Dark current, 54, 74, 96
Diabetes, 351–354
Diet, 149, 156, 157
Double ring sign, 119
459
460 |
Index |
|
|
E
Early treatment for ROP (ET-ROP), 87 Electroretinography (ERG)
focal, 67, 78–82 full field, 67–78
multi-focal, 67, 78–82 protocol, 69, 94, 105, 106, 111 a-wave, 67–70, 73, 74, 77 b-wave, 67–71, 73–76
ELISA, 371
ERG. See Electroretinography ET-ROP. See Early treatment for ROP Exudation, 235–238, 240
F
Fabry disease, 152
Familial exudative vitreoretinopathy (FEVR), 351, 352 classification in, 327–328
genetics in, 328–329 incidence in, 330 pathophysiology in, 329–330 treatment in, 331
FAZ. See Foveal avascular zone
FEVR. See Familial exudative vitreoretinopathy FF. See Fundus flavimaculatus
Flecks, 246–249, 252, 254, 255, 257, 259 Flicker, 69–71
Flynn-Aird syndrome, 303 Fovea, 3, 22–26
Foveal avascular zone (FAZ), 39, 47
Fundus flavimaculatus (FF), 246–249, 252, 259, 265, 279, 282, 284
G
Ganciclovir, 372, 376
Ganglion cells, 39–45, 49–51, 55–59 Genotype, 249, 252, 261, 262, 281, 282, 284 Gestational age, 97, 105
GFS. See Goldmann-Favre syndrome Glioma, 160–164
Glycoprotein, 156–157
Glycosphingolipid, 152 Goldmann-Favre syndrome (GFS)
genetics in, 332 incidence in, 333
pathophysiology in, 332–333 treatment in, 333
Gorlin syndrome, 10, 11 Granuloma, 379–381
Gyrate atrophy, 149, 297, 307–310
H
Hemangioma, 159, 166–170, 176–179, 181–183 Henle’s layer, 39, 43, 45, 59 Hermansky-Pudlak, 148, 149
Herpes simplex (HSV), 365, 367, 368, 370, 373–375 Hexoseaminidase, 151, 156
Histoplasmosis, 346, 347, 389–390, 392 HIV. See Human immunodeficiency virus HLA B27, 436–438
Homeotic, 1, 4, 11–14
Horizontal cells, 41, 43, 45, 50, 55 HSV. See Herpes simplex
Human immunodeficiency virus (HIV), 369, 372, 377, 385–387
Hyaloid, 46, 191–194, 197–199 Hyperoxaluria, 150 Hyperoxia, 101, 102
Hypoxia, 101, 102
I
Incontinentia pigmenti (IP), 351, 355–358 genetics in, 334–335
incidence in, 335 pathophysiology in, 335 treatment in, 336
Induction, 3–6, 10, 15
Interphotoreceptor retinoid-binding protein (IRBP), 7, 18, 19, 50
IP. See Incontinentia pigmenti
IRBP. See Interphotoreceptor retinoid-binding protein Iridohyaloid, 192, 193
J
Jeune syndrome, 303
JIA. See Juvenile idiopathic arthritis Juvenile idiopathic arthritis (JIA), 435 Juvenile retinoschisis
genetics in, 323–324 incidence in, 325 pathophysiology in, 324–325 treatment in, 326
K
Knudson, A.G., 167, 215
L
LCA. See Congenital Leber amaurosis Leber congenital amaurosis, 78–82 Leptospira, 387, 388
Leptospirosis, 387–388 Leukocoria, 207, 208, 210, 236, 239 LF. See Lipofuscin
Life cycle, 362, 379
Light reduction in ROP (LIGHT-ROP), 87 LIGHT-ROP. See Light reduction in ROP Lipofuscin (LF), 40, 247, 251, 254, 255, 265, 272,
275, 278, 280, 281, 283 Lisch nodules, 160, 161, 163 Lyme disease, 388
M
Macular
fold, 92, 93, 107, 108 heterotopia, 93, 107
Measles, 367, 377–378
Melanopsin, 51, 56, 57 Mittendorf dot, 193 Morning glory, 120–122
MPS. See Mucopolysaccharidoses Mucopolysaccharidoses (MPS), 153–156, 299, 303 Muller cells, 50
Index |
461 |
|
|
Mycobacterium, 386
Myelination, 49, 140
N
National cooperative study, 86 ND. See Norrie disease Nematode, 447, 451
Neovascularization (NV), 87, 89, 99, 102, 108, 351–358 Neurofibroma, 161–164
Neurofibromatosis, 159–166 Nevus flammeus, 177 Nieman-Pick disease, 151, 152 Nodes of Ranvier, 49
Norrie disease (ND), 351, 352 genetics in, 337
incidence in, 337 pathophysiology in, 337 treatment in, 338
NV. See Neovascularization Nyctalopia, 246, 248, 249, 253
O
Oguchi disease, 305, 306, 309 Onchocerca, 381–383 Oocyst, 361, 362
Opsin, 40, 50–52, 54
Optic cup, 2, 3, 5, 9, 10, 15–18, 21 Optic nerve
coloboma, 118, 121, 123, 125–127, 137–140 drusen, 136–137
glioma, 127–131, 133
hypoplasia, 117–120, 126, 137–140 melanocytoma, 127, 133–135 meningioma, 127, 129, 131–133 metastatic, 127
pits, 123, 124 tilted disc, 137–139 tumors, 127–131
Optic vesicle, 2–5, 14–19 Organogenesis, 4, 10 Ornithine, 149
Oscillatory potential, 70, 75 Osteosarcoma, 217
Oxygen, 86, 87, 100–102, 106
P
Parasite, 361, 362, 364, 365, 378–383, 393 Pars planitis, 434, 441–443, 448 Peroxisomes, 157
Persistent fetal vasculature (PFV), 191, 193–200, 202 Persistent hyperplastic primary vitreous (PHPV), 191–202 PFV. See Persistent fetal vasculature
Phacomatoses, 159–183
Phenotype, 249, 252, 254, 255, 259, 260, 262, 271, 273, 281–285
Pheochromocytoma, 167–170 Photodynamic therapy, 347 Photoreceptors, 39–44, 47, 49–57, 59
PHPV. See Persistent hyperplastic primary vitreous Phytanic acid, 157
Pituitary, 117, 118, 120
Pneumocystis, 366, 392–393
Postmenstrual age, 58, 97, 98, 100, 103, 104 Projectile, 424–425
Protozoa, 361–367
Pupillary membrane, 192, 193, 196, 198, 200, 201 Pyrimethamine, 366, 367
R
Refsum disease, 157, 301–303, 310 Retinal dysplasia, 11
Retinal hemorrhages, 409–419
Retinal pigment epithelium (RPE), 40–42, 45, 49 Retinal tear, 425, 428–429
Retinitis pigmentosa, 70, 74–76 diagnostic testing in, 299–301 genetics in, 298 pathophysiology in, 298–299 prevalence in, 299
treatment of, 301 Retinoblastoma
chemotherapy in, 209, 211–213, 219, 220, 222–232 classification of, 213–215, 220
computerized tomography (CT) in, 208, 211 cryotherapy in, 209, 223–225, 229 differential in, 209, 210, 215
enucleation in, 209, 214, 219–222, 227, 229–231 genetics in, 215–217, 222
incidence of, 221
magnetic resonance imaging (MRI) in, 211, 212, 229, 232
mutations in, 207, 216, 217, 232 orbital implant in, 221, 222 prevalence in, 205
radiation in, 211, 217, 220, 222, 227–232 staging in, 211–214
trilateral, 211, 212, 227 Retinopathy of prematurity (ROP)
acute, 86, 87, 95, 102, 104, 105, 108, 110 amblyopia, 106, 109
cicatricial, 86, 87, 91, 92, 97, 102, 106 classification, 87–93
incidence, 97 location, 87–89, 97, 99 myopia, 87–89, 97, 99
pathogenesis, 100–102, 111 pre-threshold, 87, 89, 94, 97, 98, 103–105
screening, 85, 93, 95, 98, 99, 102–106, 110, 111 staging, 91, 97
strabismus, 106, 109
threshold, 91, 92, 94, 97–99, 106–108 zone, 87, 94, 105, 108–110
Retinoschisin (RS1), 254, 258, 260, 261, 263, 277, 278, 280–282, 284
Retinoschisis, 246, 252, 254, 281 Retrolental fibroplasia (RLF), 85, 86 Rhodopsin, 52, 54, 74
Rickettsia, 361, 393–394
RLF. See Retrolental fibroplasia ROP. See Retinopathy of prematurity RS1. See Retinoschisin
Rubella, 365, 367, 368, 378, 385
462 |
Index |
|
|
S
Salmon patch, 354 Sandhoff disease, 151 Sarcoidosis, 436, 438–442 SC. See Sickle cell Schwannoma, 159, 164, 165 Sea fan, 354
Seeds, 208, 212, 214, 224–228 Senior-Loken syndrome, 303 Septum pellucidum, 117, 118, 120 Sialidosis, 156–157
Sickle cell (SC), 351, 352, 354–357 Sonic hedgehog, 8–11 Sphingomyelin, 151, 152
Sports, 424
Stargardt dystrophy, 246–249 Stationary night blindness, 76–77 Stickler syndrome (STK)
classification of, 316 genetics in, 316 incidence in, 319
pathophysiology in, 316–318 treatment in, 319
STK. See Stickler syndrome
STOP-ROP. See Supplemental therapeutic oxygen String of pearls, 439
Sturge-Weber syndrome, 159, 176 Sulfadiazine, 366
Supplemental therapeutic oxygen (STOP-ROP), 87 Sympathetic ophthalmia, 425–426
Syphilis, 365, 368, 383–386, 436, 442, 452–453
T
Tay-Sachs disease, 151
Telangiectasia, 170, 180–182, 236, 238, 240, 241
TORCH, 365, 368, 373, 375 Toxocara, 379–381, 442, 447–449, 451 Toxoplasma, 361–367, 446 Toxoplasmosis, 444–447
Treponema, 383, 385, 452
Triad, 363, 384, 389 Trimethoprim, 366, 393 Tuberculosis, 386–387
Tuberous sclerosis, 159, 160, 170–176 Tubulointerstitial nephritis, 438
Tunica vasculosa lentis (TVL), 191, 196 Tyrosinase, 148
U
Usher syndrome, 296–299, 301–303
Uveitis, classification in, 433–434
V
Varicella zoster, 367, 368, 372–373, 375
Vascular endothelial growth factor (VEGF), 46, 51, 96, 101, 102, 106
Vascularization, 93, 96, 97, 99–102, 105, 108 Vasculogenesis, 46
Vaso cessation, 101 Vaso obliteration, 101
Vaso proliferation, 101, 102
VEGF. See Vascular endothelial growth factor VHL. See Von Hippel-Lindau disease Visceral larval migrans (VLM), 379, 381 Vitamin A cycle, 50, 51
Vitelliform, 249–252, 279, 281 Vitreous
primary, 191–202 secondary, 192, 194 tertiary, 192
VLM. See Visceral larval migrans
Von Hippel-Lindau (VHL) disease, 159, 160 Von Recklinghausen, 159
W
Wagner disease (WGN) genetics in, 320 pathophysiology in, 321 treatment in, 322
WGN. See Wagner disease
Wyburn-Mason syndrome, 159, 160, 178–181
