PEDS Flashcards
causes of acquired optic atrophy in childhood
- craniopharyngioma
- hereditary optic atrophy
- hydrocephalus
- optic nerve/chiasmal glioma
- optic neuritis
- post papilledema
- retinal degenerative disease
conditions associated with pediatric optic disc swelling
- 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
Trisomy 21
- strab
- refractive error - myopia
- epicanthus
- blepharitis
- NLD obstruction
- ectropion
- brushfield spots
- cataract
- glaucoma
- optic nerve hypoplasia
- hypoaccomodation
- increased number of vessels at disc margin
(2015) What is optic nerve hypoplasia associated with?
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
Fetal Alcohol Syndrome
1) 3 organic causes of vision loss
2) 5 other ocular features
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
associations of duanes
lid coloboma
ptosis
keratoconus
microk
cataract
iris coloboma
heterochromia
ON hypoplasia
morning glory disc
situs inversus
SE of atropine
Ocular: allergic hypersensitivity reaction
conjunctivitis
edematous eyelids
dermatitis (also see with cyclo)
systemic:
fever
dry mouth
flushing
rapid pulse
nausea
dizziness
delirium
erythema
