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Flashcards in PEDS Deck (7)
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1
Q

causes of acquired optic atrophy in childhood

A
  • craniopharyngioma
  • hereditary optic atrophy
  • hydrocephalus
  • optic nerve/chiasmal glioma
  • optic neuritis
  • post papilledema
  • retinal degenerative disease
2
Q

conditions associated with pediatric optic disc swelling

A
  • infection
    • optic neuritis (post infectious)
    • lyme
    • bartonella
    • toxoplasmosis
    • toxocara
  • papilledema
    • intracranial mass
    • meningitis
    • IIH
    • dural sinus thrombosis
    • cranial synotosis
    • hydrocephalus- chiari malformation, aqueductal stenosis, infection
  • neoplastic
    • optic nerve glioma
    • leukemic infiltrate
  • pseudopapilledema
    • astrocytoma
    • optic disc drusen
    • hyperopia
    • prominent glial tissue
  • other: HTN
3
Q

Trisomy 21

A
  • strab
  • refractive error - myopia
  • epicanthus
  • blepharitis
  • NLD obstruction
  • ectropion
  • brushfield spots
  • cataract
  • glaucoma
  • optic nerve hypoplasia
  • hypoaccomodation
  • increased number of vessels at disc margin
4
Q

(2015) What is optic nerve hypoplasia associated with?

A

Fetal alcohol syndrome

Insulin-dependent diabetes

Aniridia

Down’s syndrome

Maternal ingestion: phenytoin, quinine, LSD, EtOH

Intrauterine infection : CMV, HepB

Periventricular leukomalacia

Duane syndrome

Goldenhar

Osteogenesis imperfecta

Potter

Aicardi

PHACES

5
Q

Fetal Alcohol Syndrome

1) 3 organic causes of vision loss
2) 5 other ocular features

A

1)
- Optic nerve hypoplasia
- coloboma
- Cerebral hypoxia

2)

high refractive error

Microphthalmia

microcornea

glaucoma and anterior segment dysgenesis

retinal tortuosity

Telecanthus

epicanthus

Strabismus - ET

Short PF

Ptosis

RECALL: growth retardation, CNS abnormalities, MR, thin upper lip, long flat philtrum, anteverted nostrils, mid face hypoplasia

6
Q

associations of duanes

A

lid coloboma

ptosis

keratoconus

microk

cataract

iris coloboma

heterochromia

ON hypoplasia

morning glory disc

situs inversus

7
Q

SE of atropine

A

Ocular: allergic hypersensitivity reaction

conjunctivitis

edematous eyelids

dermatitis (also see with cyclo)

systemic:

fever

dry mouth

flushing

rapid pulse

nausea

dizziness

delirium

erythema