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Quiz
Ein 12 Monate altes Kind wird vorgestellt. Seit dem 6. Lebensmonat fällt den Eltern ein Schielen (Esotropie) auf. Im Rahmen der Untersuchung stellen Sie einen Schielwinkel von 40 pdpt in der Nähe und in der Ferne fest. In der zyloplegischen Refrakton ermitteln Sie +1.5 sph beidseits. Die Fixation ist beidseits unauffällig. Welche erste Therapieoption ist empfehlenswert?
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Richtig!
Leider falsch ...
Richtige Antwort:
Verordnung einer Sehhilfe mit +1.5 dpt beidseits
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00998
2bb6e36d-4001-4891-bf77-d1f3b16cc542
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Richtig!
Leider falsch ...
Richtige Antwort:
Verschlechterung der Hypertropie rechts beim Blick nach rechts
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c21d4d12-800b-4cae-a549-13bafc4cbe61
Es wurden nicht alle Fragen beantwortet...
Take Home Messages
Kommentare
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jrpucman
1mm == 15pdpt
jrpucman
falsch niedrig = messung mit zu wenig Fluorescein = schwacher tränenfilm... da stimmt was nicht mit der Frage
jrpucman
https://eyewiki.aao.org/Ocular_Manifestations_of_Myotonic_Dystrophy
Muscular Abnormalities, Miosis, Hypotony, Fuchs’ Endothelial Corneal Dystrophy, Cataract (Early-onset posterior subcapsular cataract, usually described as a ''Christmas-tree cataract), Pigmentary Retinopathy
jrpucman
https://eyewiki.aao.org/Lowe_Syndrome
Ocular manifestations can include congenital cataracts, corneal keloid, and infantile glaucoma
Lowe Syndrome is an X-linked recessive disorder with the key mutation in the OCRL gene
Male gender is a risk factor as well as having a mother as a carrier of the OCRL mutation.
jrpucman
https://eyewiki.aao.org/Choroidal_and_Ciliary_Body_Melanoma
most common primary intraocular tumor in adults...
Approximately 30% of patients are asymptomatic at presentation
jrpucman
Infectious causes
Tuberculosis
Leprosy
Lyme’s disease
Syphilis
Toxocariasis
Whipple’s disease.
Non-infectious causes
Sarcoidosis
Blau syndrome
Multiple sclerosis (MS)
Inflammatory Bowel Disease
Lymphoma
Idiopathic IU
IU without apparent cause is the most frequent type of IU, accounting for more than 70% of cases.
https://eyewiki.aao.org/Intermediate_Uveitis
jrpucman
Proptosis is the most common presentation of orbital GPA, and because it is often present concomitantly with respiratory and renal disease, these manifestations together are highly suggestive of the disease
In patients presenting for the first time with non-life- or organ-threatening GPA, treatment with glucocorticoids in combination with methotrexate is advised. Q:eyewiki
jrpucman
https://eyewiki.aao.org/Serpiginous_Choroidopathy
Medical therapy
Treatment of SC aims to stop chorioretinal inflammation especially when the advancing lesions threaten the fovea. Systemic or periocular corticosteroids are frequently used but recurrence prevention usually requires long term anti-inflammatory treatment with a steroid-sparing agent, such as antimetabolites (methotrexate, mycophenolate mofetil, azathioprine), cyclosporine A, or anti-TNF agents, such as adalimumab or infliximab, once tuberculosis has been ruled out.
Konstantin Seiller-Tarbuk
Ist die drei Einteilung des Tränenfilms in drei Schichten nicht veraltet?
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