Journal of pediatric ophthalmology and strabismus
-
J Pediatr Ophthalmol Strabismus · Jul 2010
Case ReportsBranch retinal artery occlusion and non-ischemic central retinal vein occlusion due to hyperhomocysteinemia in a 14-year-old child.
A 14-year-old girl presented with sudden, painless loss of vision in the left eye. Complete ophthalmologic examination including fluorescein angiography revealed an impending central vein occlusion and a branch retinal artery occlusion inferotemporally. ⋯ Systemic evaluation led to the diagnosis of hyperhomocysteinemia. This case report underscores the importance of excluding hyperhomocysteinemia in vascular occlusive disease.
-
J Pediatr Ophthalmol Strabismus · Jan 2010
Increased intracranial pressure in patients with cystinosis.
Patients with cystinosis have risk factors known to be associated with secondary increased intracranial pressure. The authors report a series of patients with cystinosis and describe their experience in the diagnosis and management of increased intracranial pressure in this population. The ophthalmologist should be aware of this vision-threatening association.
-
J Pediatr Ophthalmol Strabismus · Sep 2009
Case ReportsMultiple anterior and posterior chamber pseudocysts in a 12-year-old boy with diffuse infiltrating retinoblastoma.
Diffuse infiltrating retinoblastoma is a rare subtype, occurring in 1% of all patients with retinoblastoma. It usually presents with pseudoinflammatory response in the anterior chamber and the vitreous, masquerading as endophthalmitis or uveitis. ⋯ These pseudocysts represent necrotic seeds without epithelial lining. Invasive surgical procedures should be avoided in children presenting with atypical, chronic, unilateral intraocular inflammation of unknown cause until retinoblastoma is excluded.
-
J Pediatr Ophthalmol Strabismus · Jul 2009
Case ReportsOptic nerve head drusen and idiopathic intracranial hypertension in a 14-year-old girl.
A 14-year-old girl had a 3-month history of headache and blurred vision. Funduscopy showed bilateral optic disc edema. ⋯ After 2 years, resolution of symptoms coincided with variable compliance to treatment with acetazolamide and concomitant papilledema. In general, optic disc edema poses a clinical conundrum due to the more common occurrence of optic nerve head drusen, potentially resulting in delayed diagnosis and treatment of idiopathic intracranial hypertension.