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| bilateral_optic_atrophy [2020/02/10 02:46] – Scott Larson | bilateral_optic_atrophy [2025/05/30 18:39] (current) – Scott Larson | ||
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| - | ====== | + | ====== Optic Atrophy in Children |
| - | ===== Suggested Initial Evaluation | + | |
| - | * Ask about History of Prematurity, | + | ====Causes==== |
| + | * Eye Malformation/ | ||
| + | * Aniridia | ||
| + | * Accidental or Non-Accidental trauma | ||
| + | * Neuroretinitis | ||
| + | * Retinal Dystrophy | ||
| + | * CSNB | ||
| + | * Leber congenital amaurosis | ||
| + | * [[stargardt_disease|Stargardt disease]]- late finding | ||
| + | * X-linked retinoschisis | ||
| + | * [[incontientia_pigmenti|Incontientia pigmenti]] | ||
| + | * Brain malformation/ | ||
| + | * Optic neuritis | ||
| + | * Neuromyelitis optica | ||
| + | * Brain Tumor | ||
| + | * especially suprasellar tumors | ||
| + | * Intraventricular hemorrhage | ||
| + | * Dandy Walker | ||
| + | * Congenital Hydrocephalus | ||
| + | * Perinatal Insult | ||
| + | * Periventricular leukomalacia | ||
| + | * Meningitis | ||
| + | * [[batten_disease|Batten Disease]] | ||
| + | * Zellweger spectrum (peroxisomal disorder) | ||
| + | * Charcot-Marie-Tootl | ||
| + | * Brown-Vailetto-Van Laere syndrome | ||
| + | * Sandhoff Disease | ||
| + | * CNS Syphilis | ||
| + | * Lyme disease | ||
| + | * [[hereditary_optic_neuropathies|Inheritable Optic Atrophy]] | ||
| + | * [[https:// | ||
| + | * OPA 1 | ||
| + | * [[leber_hereditary_optic_neuropathy|Leber Hereditary Optic Neuropathy]] | ||
| + | * Mitrochondrial DNA mutation- mothers pass to children | ||
| + | * DIDMOA (Diabetes Insipidus/ | ||
| + | * a.k.a [[https:// | ||
| + | * Skeletal Malformation | ||
| + | * Toxic/ | ||
| + | * Anemia | ||
| + | * Lead poisoning (or other heavy metals; arsenic, mercury) | ||
| + | * B12 deficiency | ||
| + | * Vitamin D Deficiency (Rickets) | ||
| + | ==== Suggested Initial Evaluation ==== | ||
| + | * Ask about History of Prematurity, | ||
| + | * Family history of low vision and heritable eye disease | ||
| + | * Exam: | ||
| + | * Visual acuity | ||
| + | * Pupil reactivity | ||
| + | * Color vision | ||
| + | * Refraction | ||
| + | * Anterior Segment and Posterior segment exam | ||
| + | * Visual fields | ||
| + | * OCT nerves/ | ||
| + | * Fundus Photos | ||
| * MRI orbits and brain | * MRI orbits and brain | ||
| * Labs: | * Labs: | ||
| Line 11: | Line 64: | ||
| * consider Lyme serum antibody titers for [[https:// | * consider Lyme serum antibody titers for [[https:// | ||
| * consider [[https:// | * consider [[https:// | ||
| + | ====Subsequent Evaluation==== | ||
| + | * OCT nerves and macula | ||
| + | * ERG | ||
| + | * VEP | ||
| + | * Molecular Genetic testing | ||
| + | * Hereditary Optic Neuropahty | ||
| + | * Dominant Optic Atrophy (OPA1) | ||
| + | * Lumbar Puncture | ||
| + | * CNS infection | ||
| + | * Hydrocephalus | ||
| + | ====References==== | ||
| + | - {{:: | ||
| {{tag> | {{tag> | ||