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Answers: 2006 Series -  November 14, 2006 Lecture 7 of 52  NEXT»

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A 6-year-old girl presents for evaluation of amblyopia. The parents report that she was a term infant (40 week gestation) but ďhad a complicated deliveryĒ.  Neurologically, she is intact and she has met all of her developmental milestones. Her vision is 20/20 right eye and 20/100 left eye and her IOP is 18 mmHg in both eyes.   The findings on slit lamp examination are shown above.

What is most correct about the patientís findings and the cause of her amblyopia?   

c -- these corneal findings could be related to her delivery


The patientís vertical corneal findings are the result of a forceps injury (and subsequent ruptures in Descemetís membrane) caused during her complicated delivery. Haabís striae can be seen be seen in congenital glaucoma but are usually horizontal and associated with high IOP.  This is an extremely unusual presentation for lattice dystrophy which is usually bilateral and has an onset in the 2nd or 3rd decade of life.

 


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