Neurology-EYE

Question 1

45 year old women
difficulty in night driving
difficulty in reading road signs
Hx of SLE
Hx of taking prednisone & hydrocortisone
Dx = ?
contributing factor ?

UW

Answer 1

Cataract
factor = glucocorticoides use - Prednisone

Question 2

Opacifications of lens is called ?

Answer 2

cataract

Question 3

Risk factors of cataract ?

Answer 3

• Age >60
• Diabetes mellitus
• Chronic sunlight exposure
• Tobacco use
• lmmunosuppression (eg, HIV, corticosteroids)

Question 4

clinical features of cataract ?

Answer 4

• Painless, progressive, bilateral vision loss
• Difficulty with nighttime driving
• Loss of red reflex
• Opacified lens

Question 5

Tx of cataract ?

Answer 5

artificial lens implantation

Question 6

congenital risk factors of cataract ?

Answer 6

classic galactosemia, galactokinase deficiency, trisomies (13, 18, 21),
TORCH infections (eg, rubella), Marfan syndrome, Alport syndrome, myotonic dystrophy, NF-2