Presentation
Presents a select team of experts, all of whom are true international leaders in retinal imaging, and have assisted in contributing to the diverse library of common and rare case illustrations. [books.google.com]
Systemic Features: No systemic disease is present. Genetics This is an autosomal recessive disorder resulting from homozygous or compound heterozygous mutations in the PLA2G5 gene located at 1p36.13-p36.12. [disorders.eyes.arizona.edu]
Inheritance - congenital achromatopsia is transmitted in an autosomal-recessive trait Presentation - patients present in early childhood with nystagmus, abnormal visual behaviour or photophobia. Acuity is less than 20/200. [patient.info]
Acronym FRFB Disclaimer Any medical or genetic information present in this entry is provided for research, educational and informational purposes only. [uniprot.org]
Hematological
- Hemophilia A
[…] intraocular tumor (RB, melanoma) Absent dilator muscles 1) rubella 2) Marfan’s 3) Lowe’s oculocerebral syndome 4) microcoria 5) ectopia lentis et pupillae Hyphema in adults 1) trauma 2) rubeosis (see above) 3) severe iritis (HSV, HZV) 4) coag. disorder (hemophilia [studyres.com]
Entire Body System
- Anemia
cblG complementation type; folate-sensitive neural tube defects AR 31 MTRR 602568 Homocystinuria-Megaloblastic Anemia, Cble Complementation Type; folate-sensitive neural tube defects AR 18 MUT 609058 complete deficiency of methylmalonyl-CoA mutase AR [centogene.com]
8) cardiac valve disease (emboli) Roth's spots - retinal heme with fibrin thrombus in center A) Anemias 1) leukemia 2) pernicious anemia B) 6 S’s 1) SBE 2) septicemia 3) shaken baby 4) SLE (& other CVD) 5) scurvy 6) sarcoid C) Other 1) DM Ddx of periarteritis [studyres.com]
[…] embryogenesis Rare oncologic disease 1 0 0 Koolen-De Vries syndrome due to a point mutation Rare developmental defect during embryogenesis 1 0 0 17q21.31 microdeletion syndrome Rare developmental defect during embryogenesis 1 0 0 X-linked dyserythropoetic anemia [mousebook.org]
Cone dystrophy 3/Cone rod dystrophy GUCA1B dominant retinitis pigmentosa; dominant macular dystrophy GUCY2D Cone rod dystrophy, Leber congenital amaurosis HARS Usher syndrome HCN1 Cone rod dystrophy HGSNAT recessive retinitis pigmentosa HK1 Hemolytic anemia [molecularvisionlab.com]
Retinitis pigmentosa DHDDS Retinitis pigmentosa EYS Retitinis pigmentosa FAM161A Retitinis pigmentosa FLVCR1 Ataxia, posterior column, with retinitis pigmentosa GNPTG Mucolipidosis GUCY2D Cone rod dystrophy, Leber congenital amaurosis HK1 Hemolytic anemia [genda.com.ar]
- Pallor
Bone specule pigmentation Arteriolar attenuation Waxy disc pallor C/Fx: Low V.A. [slideplayer.com]
Optic nerve head pallor: Waxy pallor of the ONH. ii. Late: optic atrophy and/or pre-papillary gliosis. iii. [cram.com]
The classic clinical triad of RP is (a) anmoinr aUmiiation, (b) retinal hone-spkule pujmentation and [c'jwaxij disc pallor. I. Presentation is with nyctalopia during the third decade but may be sooner depending on the pedigree. [archive.org]
At the age of 34 years, he demonstrates narrowed blood vessels, waxy pallor of the optic nerve, bone-spicule like pigmentations, typical for RP, and severe macular atrophy. [nature.com]
Causes of cupping 1) Chronic glaucoma All the following have pallor: © Mark Cohen 1998 2) AION (arteritic more common cause 60-80%) 3) syphilis 4) compressive lesion 5) hypotensive episode 6) Leber’s hereditary optic neuropathy 7) trauma 8) myopic changes [studyres.com]
- Relapsing Polychondritis
[…] not: RA, strep, gout Uveitis + Arthritis A) HLA- B27 1) ankyl. spond. 2) psoriasis 3) Reiter's 4) IBD B) non-HLA-B27 1) JRA 2) SLE 3) relapsing polychondritis 4) Behcet’s 3) retained lens debris 4) tumor necrosis (RB, melanoma) 5) tight contact lens 6 [studyres.com]
Eyes
- Retinal Pigmentation
The patient had widespread discrete yellow-white fleck lesions of the retinal pigment epithelium (RPE) bilaterally, extending to the far periphery but sparing the macular region. [bio2rdf.org]
The retinal pigment epithelium and vasculature are normal. Systemic Features: No systemic disease is present. [disorders.eyes.arizona.edu]
Furthermore, spectral domain optical coherence tomography showed focal thickening of the retinal pigment epithelium because of the presence of these flecks. [wwww.unboundmedicine.com]
Pigment Epithelium p. 321 Congenital hypertrophy of the retinal pigment epithelium p. 321 Combined hamartoma of the retina and retinal pigment epithelium p. 324 Congenital hamartoma of the retinal pigment epithelium p. 324 Acquired Optic Nerve Disorders [booktopia.com.au]
Drusen are extracellular deposits that accumulate below the retinal pigment epithelium on Bruch membrane. [bredagenetics.com]
- Ectopia Lentis
lentis et pupillae Ectopia lentis, isolated Exfoliation syndrome, susceptibility to Exudative vitreoretinopathy Fibrosis of extraocular muscles, congenital Fleck retina, familial benign Foveal hypoplasia Fundus albipunctatus Gaze palsy, horizontal, with [qlinics.com]
[…] syndrome Benign concentric annular macular dystrophy Best vitelliform macular dystrophy Bothnia retinal dystrophy Colobomatous and areolar dystrophy Cone dystrophy with supernormal rod response Cone rod dystrophy Cystoid macular dystrophy EEM syndrome Ectopia [se-atlas.de]
[…] oxidase deficiency 8) tertiary syphilis B) with ocular conditions 1) aniridia 2) microspherophakia 3) buphthalmos 4) megalocornea 5) high myopia 6) uveal coloboma 7) Peter’s anomaly C) other 1) trauma 2) simple ectopia lentis (AD) (fibrillin) 3) ectopia [studyres.com]
lentis-microspherophakia-stiff joints-short stature syndrome Glaucoma secondary to spherophakia/ectopia lentis and megalocornea Glaucoma-sleep apnea syndrome GLB1 deficiency Glial tumor Glial tumor of neuroepithelial tissue with unknown origin Glioblastoma [orpha.net]
lentis, isolated AGK Sengers syndrome ALDH18A1 Cutis laxa, Spastic paraplegia BCOR Microphthalmia, syndromic, Oculofaciocardiodental syndrome BFSP2 Cataract COL2A1 Achondrogenesis type 2, Avascular necrosis of femoral head, Czech dysplasia, Epiphyseal [genda.com.ar]
- Corneal Edema
edema 2) Muro-128 for corneal edema 3) ALT useless 4) do trab for either nerve damage or IOP causing corneal edema (Avi says not true) 5) PKP Unilateral glaucoma 1) PHPV 2) ICE 3) Fuch’s 4) Neovascular 5) Uveitic 6) Glaucomatocyclitic crisis Treatment [studyres.com]
[…] the SIGHT and VIEW Studies First Author: Xiaoxin LI (China) Poster No.: P-039 A Clinical Overview of Intravitreal Aflibercept in Retinal Diseases First Author: Yuichiro OGURA (Japan) Poster No.: P-040 Effect of Scleral Lens Application for Preventing Corneal [2015.apvrs.org]
- Background Retinopathy
[…] without macular edema 2016 2017 - Deleted Code 2017 - New Code 2018 2019 Non-Billable/Non-Specific Code E13.359 ) Codes H35 Other retinal disorders H35.0 Background retinopathy and retinal vascular changes H35.00 Unspecified background retinopathy H35.01 [icd10data.com]
[…] small break in the macula that usually happens to people over 60 Floaters - cobwebs or specks in your field of vision NIH: National Eye Institute Different Conditions ---------------------- Related ICD 10 COde ICD 10 Code H36 ---------------------- Background [codelay.com]
- Blurred Vision
Presentation - aged 40-50 years: blurred vision ± distortion of images (metamorphopsia) which may be mild to the point that this condition is often discovered by chance. [patient.info]
Skin
- Macula
The macula was always free. Fluorescein studies showed healthy macula and retinal and choroidal vessels. [bio2rdf.org]
The macula was always free. Fluorescein studies revealed a healthy macula and retinal and choroidal blood vessels. The relationship of this benign form to the other forms of fleck retina is discussed. [bjo.bmj.com]
The central macula is spared. The flecks autofluoresce and fluorescein angiography reveals mild irregular hyperfluorescence. [disorders.eyes.arizona.edu]
FAF showing hyperautoflourescent flecks and hypoautofloursecent macula 15. [slideshare.net]
Macular pucker - scar tissue on the macula Macular hole - a small break in the macula that usually happens to people over 60 Floaters - cobwebs or specks in your field of vision NIH: National Eye Institute Different Conditions ---------------------- Related [codelay.com]
Workup
[More] Chapter This chapter describes workup of a case of pterygium. Any patient presenting with pterygium should be worked up thoroughly before being planned for surgical excision. [jaypeedigital.com]
[…] ocular conditions 1) aniridia 2) microspherophakia 3) buphthalmos 4) megalocornea 5) high myopia 6) uveal coloboma 7) Peter’s anomaly C) other 1) trauma 2) simple ectopia lentis (AD) (fibrillin) 3) ectopia lentis et pupillae (AR) 4) familial (AD) 7 Workup [studyres.com]
Treatment
Treatment Treatment Options: No treatment is necessary. [disorders.eyes.arizona.edu]
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
Key Points Each case gives a structure for working up a differential diagnosis and treatment plan based on a challenging set of signs and symptoms Shows imaging results drawn from the full array of relevant, current imaging modalities Provides treatment [books.google.ro]
Injection treatments with this and other drugs have since become one of the major advances in the treatment of patients with diabetic eye disease. [perthretina.com.au]
P-002 Comparison of Monotherapy with Combination Therapy for Treatment of Polypoidal Choroidal Vasculopathy — In Indian Scenario First Author: Aditya Vikram SHARMA (India) Poster No.: P-003 A Classification of Idiopathic Macular Holes (Mhs) Useful [2015.apvrs.org]
Prognosis
CONCLUSION The clinical findings in this family suggest a diagnosis of benign familial fleck retina with excellent prognosis, in which the PLA2G5 gene may play a role. [wwww.unboundmedicine.com]
Prognosis - there is no progression. [patient.info]
Diagnosis and Prognosis: The diagnosis is made by an ophthalmologist, usually during a routine examination since there are no symptoms. There is no visual dysfunction or impact on general health. Additional Information [disorders.eyes.arizona.edu]
Prognosis depends on the sev^erity of rod involvement; minimal involveTnent has a better prognosis, at least in the intermediate term. 10. [archive.org]
Etiology
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
They found choroidal neovascular membranes in a total of four eyes in three patients who otherwise had no obvious etiologic factors for the development of CNVM. [reviewofoptometry.com]
CEP164 Nephronophthisis CEP250 recessive Usher syndrome CEP290/BBS14 Bardet-Biedl syndrome, Leber congenital amaurosis, Joubert syndrome, Senior-Loken syndrome, Meckel syndrome CERKL Retinitis pigmentosa CFH age-related macular degeneration, complex etiology [molecularvisionlab.com]
Epidemiology
Epidemiology of hereditary ocular disorders. Dev Ophthalmol 37, 16–33 (2003). 4. Bundey, S. & Crews, S. J. A study of retinitis pigmentosa in the City of Birmingham. I Prevalence. J Med Genet 21, 417–420 (1984). 5. Peterlin, B. et al. [nature.com]
Pathophysiology
Ongoing genetic research continues to change the understanding of pathophysiology. Stargardt's disease and fundus flavimaculatus [ 3 ] There has been some question as to whether this condition is two diseases or one. [patient.info]
Prevention
Like other forms of conjunctival autografting, the objective is to prevent abnormal conjunctiva and fibrovascular tissue from encroaching on the cornea and result... [jaypeedigital.com]
[…] adjuvant therapy: The purpose of extended adjuvant therapy with FEMARA* is to treat hormone receptor-positive early breast cancer in postmenopausal women who have received approximately 5 years of prior standard adjuvant tamoxifen therapy in order to prevent [wordscope.com]
Corresponding spectralFinancial Disclosure: SHT is a fellow of the Burroughs-Wellcome Program in Biomedical Sciences and has been supported by the Bernard Becker-Associationof University Professors in Ophthalmology-Research to Prevent Blindness Award [docslide.net]
Corresponding spectral Financial Disclosure: SHT is a fellow of the Burroughs-Wellcome Program in Biomedical Sciences and has been supported by the Bernard Becker-Association of University Professors in Ophthalmology-Research to Prevent Blindness Award [docslide.com.br]