Presentation
[…] offers the only hope for cure. [5] We present the case of a female infant with MIOP, who presented to us with hematological abnormalities, failure to thrive and blindness. [wajradiology.org]
At present, the only potentially curative option is a haematopoietic stem cell transplant. [casereports.bmj.com]
Presents a more streamlined format to the printed text to help you focus on the clinically actionable information you need everyday. [books.google.ro]
The patient presented a favorable evolution with reduction of the peripapillary granuloma and improvement of visual acuity to 20/25. [imagebank.asrs.org]
Entire Body System
- Asymptomatic
BCVA is 20/25, and she is visually asymptomatic in this eye. [imagebank.asrs.org]
Heterozygosity for an allele that causes an autosomal recessive disease in homozygotes is usually asymptomatic but detectable by laboratory tests. [dorak.info]
CONCLUSIONS: Peripapillary detachment in pathologic myopia is an asymptomatic, yellow-orange peripapillary detachment of the retinal pigment epithelium and retina in pathologic myopia [14]. [wikigenes.org]
In some instances, children receiving ongoing care for infantile hypocalcemia may not be diagnosed with the 22q11.2 deletion syndrome until school age; while at least one otherwise asymptomatic adult came to attention following onset of hypoparathroidism [22q.org]
Patients are often asymptomatic, but some suffer from pain and hearing loss. ADOI appears to be the only type of osteopetrosis not associated with an increased fracture rate. [encyclopedia.com]
- Crying
Craniofacial findings include auricular abnormalities, nasal abnormalities, “hooded eyelids,” ocular hypertelorism, cleft lip and palate, asymmetric crying facies, and craniosynostosis [McDonald-McGinn et al 2005a]. [22q.org]
- Atrial Septal Defect
Atrial septal defect 3% Aortic arch anomaly 3% VSD; ASD 4% Other 1 4% Normal 26% From McDonald-McGinn et al [1999a] Hypoplastic left heart syndrome; pulmonary valve stenosis; double outlet right ventricle/interrupted aortic arch; bicuspid aortic valve [22q.org]
Cardiovascular
- Heart Disease
Other clinical findings include congenital heart disease, hearing loss, dysmorphic features, immune deficiency, hypocalcemia, renal anomalies, feeding issues, skeletal anomalies, and psychiatric disorders. [perioimplantadvisory.com]
It is characterised by congenital heart disease, short stature, a broad and webbed neck, sternal deformity, variable degree of developmental delay, cryptorchidism, increased bleeding tendency and characteristic facial features that evolve with age. [ [patient.info]
Later, congenital heart disease was added. The majority of individuals with DGS were identified in the neonatal period with a major congenital heart defect, hypocalcemia, and immunodeficiency. [22q.org]
[…] syndrome Harrod syndrome Heart-hand syndrome Heart-hand syndrome type 2 Heart-hand syndrome type 3 Heart-hand syndrome, Slovenian type Hemimelia Hennekam syndrome Hepatic fibrosis-renal cysts-intellectual disability syndrome Hereditary breast cancer [se-atlas.de]
Musculoskeletal
- Muscular Atrophy
[…] dystrophy type 2K Autosomal recessive limb-girdle muscular dystrophy type 2N Autosomal recessive limb-girdle muscular dystrophy type 2P Autosomal recessive limb-girdle muscular dystrophy type 2T Autosomal recessive limb-girdle muscular dystrophy type [se-atlas.de]
Eyes
- Strabismus
New Fifth Edition chapters cover Neonatal Ophthalmology, Surgical Management of Strabismus, Medicolegal Issues, and Evolution of Strabismus Surgery. [books.google.com]
hypertelorism, optic atrophy AD FGFR2 #123500 CROUZON SYNDROME WITH ACANTHOSIS NIGRICANS (CROUZONODERMOSKELETAL SYNDROME) Shallow orbits, proptosis, strabismus, hypertelorism, optic atrophy AD FGFR3 #612247 CUTIS LAXA, DEBRE TYPE Strabismus, myopia, [eyewiki.aao.org]
World Society of Paediatric Ophthalmology & Strabismus Myopia Consensus Statementhttp:// wspos.org/wp-content/uploads/2016/04/WS- POS_Consensus-Statement_Myopia.pdf. 23. Saw SM, Tong L, Chua WH, Chia KS, Koh D, Tan DT et al. [passeidireto.com]
Hypertelorism, strabismus, malar hypoplasia, long filtrum. Figure 4: Frontal and lateral view of the proband father affected by Stickler syndrome. [omicsonline.org]
Binocul Vis Strabismus Quart. 2000;15(3Suppl):281–304. Abstract disponível em: https://www.ncbi.nlm.nih.gov/pubmed/?term=Reducing+the+progression+of+myopia+with+atropine%3A+a+long+term+cohort+study+of+Olmsted+County+students 43. [200.98.68.239]
- Visual Impairment
Neurological manifestations can also occur due to narrowing of osseous foramina resulting in visual impairment, hearing loss, facial palsy and hydrocephalus. [casereports.bmj.com]
ABSTRACT The prevalence of myopia worldwide has been increasingsignificantly over the past decades, and it is currently a leading causeof visual impairment worldwide. [200.98.68.239]
Introduction Myopia, the most common eye disease worldwide, is also the leading cause of visual impairment [ 1 ]. [molvis.org]
Pathological myopia or high myopia, a subset of myopia which is characterized with excessive axial elongation and degenerative changes of the eye, is a leading cause of visual impairment. [journals.plos.org]
Global estimates of visual impairment: 2010. Br J Ophthalmol 2012;96:614-8. 3. Jacobi FK, Zrenner E, Broghammer M, Pusch CM. A genetic perspective on myopia. Cell Mol Life Sci 2005;62:800-8. 4. Saw SM. [ijo.in]
- Visual Impairment
Neurological manifestations can also occur due to narrowing of osseous foramina resulting in visual impairment, hearing loss, facial palsy and hydrocephalus. [casereports.bmj.com]
ABSTRACT The prevalence of myopia worldwide has been increasingsignificantly over the past decades, and it is currently a leading causeof visual impairment worldwide. [200.98.68.239]
Introduction Myopia, the most common eye disease worldwide, is also the leading cause of visual impairment [ 1 ]. [molvis.org]
Pathological myopia or high myopia, a subset of myopia which is characterized with excessive axial elongation and degenerative changes of the eye, is a leading cause of visual impairment. [journals.plos.org]
Global estimates of visual impairment: 2010. Br J Ophthalmol 2012;96:614-8. 3. Jacobi FK, Zrenner E, Broghammer M, Pusch CM. A genetic perspective on myopia. Cell Mol Life Sci 2005;62:800-8. 4. Saw SM. [ijo.in]
Psychiatrical
- Suggestibility
Evidence suggests that vision impairments such as myopia are heredity I n the future, gene therapy could help stop ocular abnormalities before they begin. [eyeworld.org]
As this study using twins suggests, the environmental impact affecting myopia development can’t be ignored. [endmyopia.org]
A genome wide scan for familial high myopia suggests a novel locus on chromosome 7q36. J Med Genet. 2002; 39:118-24. [molvis.org]
This suggests that many developmental and heritable (and perhaps environmental) components are responsible. No specific mutation has been identified but a number of 'susceptibility' loci have been mapped. [disorders.eyes.arizona.edu]
The signs suggested the diagnosis of Ehlers- Danlos Syndrome. [omicsonline.org]
Workup
Serum
- Hypophosphatemia
[…] metabolism Distal Xq28 microduplication syndrome Distal arthrogryposis Distal arthrogryposis type 10 Distal arthrogryposis type 5D Distal monosomy 3p Distal monosomy 6p Distal symphalangism Distal tetrasomy 15q Distal trisomy 15q Dobrow syndrome Dominant hypophosphatemia [se-atlas.de]
Female carriers of X-linked recessive diseases are generally asymptomatic but exceptions occur (manifesting carriers) as reported in hereditary hypophosphatemia with vitamin D-resistant rickets, Duchenne muscular dystrophy (DMD) and Wiskott-Aldrich syndrome [dorak.info]
Treatment
Helps you make optimal use of the newest drug therapies, including Anti-VEGF treatment for wet ARMD and bevacizumab treatment for complications of diabetes. [books.google.ro]
Treatment Treatment Options: Correction of the refractive error is primary. High myopes require periodic evaluation throughout life and prompt surgical intervention for retinal detachments. [disorders.eyes.arizona.edu]
Features of macroaneurysms include: a. more common in women than men b. more common in the temporal arcade than the nasal arcade c. retinal artery occlusion d. occurs in IRVAN syndrome e. progressive enlargement and therefore early treatment with treatment [mrcophth.com]
Treatment and management of the sclerosing bone dysplasias focus on treatment of specific symptoms of the condition. [encyclopedia.com]
In a comparison of myopia progression rate in this group to that of a control group of 146 individuals with myopia, the rate decreased during the treatment period. Upon treatment discontinuation, the rate was similar in both groups. [200.98.68.239]
Prognosis
Prognosis The prognosis for individuals affected by sclerosing bone dysplasia varies greatly depending upon the type of sclerosing bone dysplasia and severity of symptoms. [encyclopedia.com]
[…] retinopathy caused by shaken baby syndrome: a. the patient is usually between the age of 3 and 5 years of age b. the retinopathy may resemble central retinal vein occlusion c. neurological damage is common d. skull fracture is always present e. the visual prognosis [mrcophth.com]
Prognosis The outcome is assessed on the extent and severity of the problems in the individual patient. Most individuals with NS are able to lead normal lives. [patient.info]
Confirming a genetic diagnosis is essential to determine prognosis and establish a risk for recurrence. Aneuploidies such as Trisomy 13 and 18 have a strong association with CL/CP. [perioimplantadvisory.com]
The presence of facial angiofibromas and periungual fibromas was sufficient to diagnose TSC in the mother and thus in the foetus, allowing for the appropriate counselling regarding fetal prognosis. [omicsonline.org]
Etiology
The etiology of high myopia remains unclear. [ijo.in]
On the etiology of myopia. An epidemilological study. Acta Ophthalmol, 1968; 98(suppl): 1-172. 15. Resnikoff S, Pascolini D, Marioti S, Pokharel P. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. [passeidireto.com]
The likelihood of a genetic or teratogenic etiology increases the more congenital anomalies with which a patient presents. [perioimplantadvisory.com]
Thus, the current linkage analysis was done to test the hypothesis that other alleles at the candidate high myopia loci on chromosomes 18 and 12 might contribute to the etiology of moderate/mild myopia. [bmcmedgenet.biomedcentral.com]
Environmental factors such as work at close range and prolonged reading are suggested to be involved in the progression of myopia [ 1, 12, 13 ] and a body of evidence supports the idea that heredity plays a central role in the etiology of myopia. [molvis.org]
Epidemiology
On the other hand, various studies in epidemiology have shown that myopia is associated with certain behaviors (environment) like near-work, intensive studying and reading. [brighthub.com]
See also Introduction to Genetic Epidemiology. [dorak.info]
Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: an evidence-based systematic review. Am J Ophthalmol. 2014;157(1),9-25. http://dx.doi.org/10.1016/j.ajo.2013.08.010 22. [200.98.68.239]
Epidemiology It is inherited in an autosomal dominant manner. [patient.info]
Cleft lip with or without cleft palate (CL/CP) differs from an isolated cleft palate (CP) on embryonic, epidemiologic, and genetic levels. [perioimplantadvisory.com]
Pathophysiology
At the other side the genetic factors include the hypothetical list with candidate genes though to be responsible for the developments of nearsightedness, based on the pathophysiology of myopia syndrome (nature vs. nurture). [wespeakscience.com]
The identification of this gene may provide insight into the pathophysiology of myopia and eye development.” Here is what I want to show you. [endmyopia.org]
Identifying the genetic markers for myopia would be a useful step toward understanding the molecular defects that lead to the pathophysiology of myopia. [molvis.org]
Pathophysiology and treatment. Clin Orthop 1993;294:64-78. [Figure 1], [Figure 2] [wajradiology.org]
Prevention
But for now, a good knowledge of genetic factors involved in refractive error could assist treatment to prevent progression, according to the January 2007 issue of Archives of Ophthalmology, in which Terri L. [eyeworld.org]
Prophylaxis with defibrotide prevents veno-occlusive disease in stem cell transplantation after gemtuzumab ozogamicin exposure. Blood 2004; 103: 1968. 28. Barker CC, Butzner JD, Anderson RA, Brant R, Sauve RS. [go.galegroup.com]
Total decompression can prevent future attacks of facial paralysis in some forms of sclerosing bone dysplasias. [encyclopedia.com]
The early diagnosis made in this case if followed up with the appropriate management will prevent the morbidity and mortality usually associated with MIOP. Financial support and sponsorship Nil. [wajradiology.org]