Peds Oph Flashcards
Atropine causes what SE in kids?
Allergic / hypersensitivity rxn.
Scopolamine causes what SE in kids?
Hypnotic effects.
Premature closure of the skull base suture causes what?
midface hypoplasia
What is the seasonal difference between atopic KC vs vernal KC?
AKC is year round (pts with atopy) and VKC is seasonal.
AKC or VKC affect both the upper and lower eyelids?
AKC effects both (VKC just the upper)
How do newborn chlaymidal conjuctivitis differ from adult inclusion conjunctivitis? How do you treat?
infant only papillary reaction after 7 days vs adult with follicular reaction after the first month. Oral Macrolide - Erythromycin or Azithromycin.
What is Alagille Syndrome?
Axenfelds (post. embryotoxin) + Pigmentary Retinopathy.
- Cardiac defects and jaundice
- No DT reflexes
- AD. Defect in JAG1 gene.
What type of cataract does a pt have in Lowe’s syndrome?
Dense Disciform cataracts in ALL pts. Severe HYPOTONIA at birth with Fanconi renal syndrome = renal tubular acidosis.
What 2 diseases cause christmas tree cataracts and describe them?
- HYPOparathyroidism - normal intelegence with paresthesias and tetany 2. Mytonic dystrophy - low intelligence with ptosis, CPEO, and pigmentary retinopathy
What are 4 characterstics of NF2?
- AD 2. Cortical WEDGE cataracts 3. PSC 4. Combined hamartoma 5. RETINAL HAMARTOMAS 6. b/l vestibular schwanomas 7. O/N MENIGIOMAs
What is the 4 different presentations of sarcoidosis in KIDS vs adults
- Kids have high borderline ACE levels at baseline 2. Rash and arthritis are more frequent in kids 3. Lung involvement more in adults 4. Both are mostly ANTerior uveitis
Which pediatric corneal d/o has radial iris transillumination defects?
MICROcornea
Which lenticonus is more common and acquired?
Posterior
What is the inheritance pattern for Alports and Lowes dz?
X linked
What is the 4 Ddx of intraocular cartilage?
- PHPV
- Medullepithelioma
- Teratoma
- Trisomy 13
EOM motor defects occurs 10% of the time in which phakomatosis?
NF2
Which 4 Phakomatoses has GL?
- NF1
- VHL
- Sturge Webber
- Wyburn Mason
Which phakomatoses has peripheral retinal AV malformations with RD, RPE changes, or pseudo-RP?
Sturge Weber
Which phakomatoses has impaired convergence, nystagmus and oculomotor apraxia with IgA deficiency?
AT / Louis barr
Which phakomatosis is XL DOMINANT?
Incontinetia pigmenti
What nystagmus is a/w oculocutaneous albinism?
Periodic Alternating nystagmus (2-3 minute cycle)
What is the most common cause of nystagmus in the pediatric population?
Sensory defect nystagmus (pendular)
Which direction is the jerk nystagmus in Latent nystagmus?
Towards the fixating eye with DECREASE exponetially of the velocity of the SLOW phase.
Which special form of strabismus has a LARGE XT and is a/w Refsums, Baseen Korwig, and Kearn Sayers?
CPEO (no DIPLOPLIA)
