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83 Cards in this Set

  • Front
  • Back
MOBIUS Syndrome (6)
Affects CN VI, VII, and IX
Hand/limb abnormalities
Hypoplastic tongue
Bilateral abduction or gaze palsy
Bilateral hypoglossal paralysis
Bilateral facial paralysis
WAGR (ie. Oculocutaneous Syndrome of Miller) (4)
Wilms tumor
Aniridia
Genitourinary abnormalities
Mental retardation
Hermansky-Pudlack Syndrome (5)
Albinism
Autosomal recessive
Platelet dysfunction
Pulmonary fibrosis
Granulocytic colitis
Chediak-Higushi Syndrome (3)
Albinism
Autosomal recessive
Leukocyte dysfunction
Septo-Optic Dysplasia DeMorsier Syndrome (4)
Optic nerve hypoplasia
Associated with hypopituitary
Pituitary dwarfism
Associated with agenesis of the corpus collosum
Absence of septum pellucidum
See-saw nystagmus
Chiasmal defects
Goldenhar Syndrome (8)
Sporadic
Unilateral or bilateral lid colobomas
Pre-auricular skin tags
Vertebral abnormalities
Limbal dermoids
Microtia
Macrostomia
Heart disease
Reiger’s SyndromeReiger’s anomaly
Reiger’s anomaly
Glaucoma
Systemic findings
Dental/facial abnormalities
Telecanthus
Microdentia
Broad flat nose
Mental retardation
Umbilical hernia
Lowe’s Syndrome Oculocerebral Renal Syndrome
(6)
X-linked recessive
Bilateral cataracts
Glaucoma
Mental retardation
Amino aciduria
Renal ricketts
Weill-Marchesani Syndrome
(3)
Short stature
Stubby fingers
Spherophakia
Alport’s Syndrome
(6)
Males
Hemorrhagic nephritis
Deaf
Bilateral anterior polar cataract
Associated with PPMD
Abnormal type III collagen
Fabry’s
(3)
X-linked
Corneal verticellata
Spoke-like cataracts
Galactosemia
Oil droplet cataract
Goldman-Favre Syndrome
(8)
Autosomal recessive
Foveal and peripheral schisis
Abnormal EOG and ERG
Attenuated vessels
Vitreous strands/veils
Empty vitreous
Cataracts
Pale optic nerves
Gorlin-Goltz Syndrome
(3)
Autosomal dominant
Multiple basal cell nevus syndrome
Associated with myelinated nevi
Kassabach-Merritt Syndrome
(2)
Thrombocytopenia due to sequestration in large capillary hemangiomas
Visceral capillary hemangiomas
Waardenberg Syndrome
(7)
Autosomal dominant
Heterochromia iridis
Deaf
White forelock
Hypertelorism
Eyelid abnormalities
Telecanthus
Pierre-Robin Syndrome
(4)
Sporadic
Cleft palate
Hypoplastic mandible
Associated with Stickler’s
Crouzon Syndrome
(6)
Autosomal dominant
Maxillary hypoplasia
Forelock
“Hooked nose”
Deaf
Seizure disorder
Apert Syndrome (Acrocephalosyndactyly)
(4)
Autosomal dominant
Syndactyly of hands/feet
Mid-face hypoplasia
Mental retardation
Pfeiffer Syndrome
(3)
Autosomal dominant
Short thumbs/toes
Syndactyly
Fetal Alcohol Syndrome
(6)
Blepharophimosis
Ptosis
Telecanthus
Optic nerve hypoplasia
Anterior segment dysgenesis
Strabismus
Aicardi Syndrome
(7)
Girls only
X-linked dominant
Optic nerve hypoplasia
Clear retinal lacunae
Abscent corpus collosum
Seizure disorder
Mental retardation
Riley Day Syndrome
Familial dysautonomia
Things associated with Duane’s Syndrome
(8)
Cataracts
Iris abnormalities
Marcus Gunn pupil
Crocodile tears
Microphthalmia
Goldenhar syndrome
Maternal thalidamide
Klippel-Feil syndrome
Riddoch Phenomena
(2)
Occipital lobe injury
Perceive moving targets not static ones
Brun’s Nystagmus
(3)
Acoustic neuroma/meningioma
Large amplitude, low frequency while looking toward the lesion
Low amplitude high frequency while looking away from the lesion
Drifts to the side of the lesion (fast away), as the lesion enlarges there is brainstem compression so the fast phase changes direction toward the ipsilateral side with a more coarse beat
Parinaud’s Syndrome
(5)
Convergence retraction on attempted upgaze
Abscent upgaze (supranuclear)
Light-near dissociation
Collier lid retraction
Papilledema
One & a Half Syndrome (Gaze Palsy with INO)
(3)
Lose of ipsilateral Adduction and Abduction
Contralatral Abduction only
Due to CVA or pontine neoplasm
Millard-Grubler Syndrome
(3)
Ipsilateral CN VI and VII affected
Contralateral hemiplegia
Due to a pontine tumor
Nothnagel Syndrome
(3)
CN III affected
Lesion in the superior cerebellar peduncle
Ataxia
Benedict Syndrome
(3)
CN III affected
Lesion in the red nucleus and medial lemniscus
Contralateral loss of sensation with rubral tremor
Claude Syndrome
Benedict plus Nothnagel
Weber Syndrome
(3)
CN III affected
Lesion in the cerebral peduncle
Contralateral spastic paralysis
Holes-Adie’s Syndrome
(3)
Adie’s pupil
Decrease in deep tendon reflexes
Orthostatic hypotension
Miller-Fischer Syndrome (Bulbar variant of Guillian Barre)
(3)
Areflexia
Ataxia
Ophthalmoplegia
Meige Syndrome
(2)
Bilateral blepharospasm
Facial grimacing
MELAS
(4)
Mitochondrial myopathy
Encephalopathy
Lactic acidosis
Stroke-like episodes
Oculopharyngeal Dystrophy
(3)
Autosomal dominant
Progressive dysphagia with ptosis
Usually French/Canadian descent
Gradenigo Syndrome
(4)
CN VI affected with facial pain
Transverse sinus thrombosis
Decreased hearing
Otitis with mastoiditis due to petrositis
Pulfrich Phenomena
(2)
Conduction delay in one optic nerve following an episode of optic neuritis
Altered perception of motion
Pendulum may appear to trace and elliptical pathway instead of its true single-plane oscillation
Basal Encephalocele
(4)
Hypertelorism
Dysplastic optic nerve
Midline face/skull defects
Associated with transphenoidal encephalocele
Disconnect Syndrome
(4)
Dominant occipital lobe and splenium of the corpus collosum
Right homonymous hemianopia
Alexia without agraphia
Due to posterior cerebral artery stroke
Palinopsia
(3)
Multiple afterimages
Non-dominant occipital lobe lesion
Visual hallucinations may also be present
Stephen’s Syndrome
(3)
CPEO
Ataxia
Peripheral neuropathy
Wall-Eyed bilateral INO (WEBINO Syndrome)
(3)
Both MLF gone
3rd nucleus affected
Exotropia in primary gaze
Blepharophimosis
(5)
Autosomal dominant
Telecanthus
Epicanthus inversus
Ptosis
Associated with primary amennorhea
Von Graeffe’s Sign
Upper lid lags up on downgaze in Graves disease
Hand-Schuller-Christian Syndrome
(4)
Diabetes insipidus
Exophthalmos
Multifocal boney lesions
Associated with histiocytosis
Letterer-Siwe Syndrome
(4)
Most severe and malignant form of histiocytosis
Fatal with visceral involvement
Affects infants younger than 2 years old
Rarely involves the eye
Leser-Trelat Sign
(3)
Sudden, multiple seborrheic keratoses
Evolving acanthosis nigricans
Associated with a malignancy
Usually a GI adenocarcinoma
Brown-McLean Syndrome
(4)
Peripheral corneal edema with clear center
Occurs most commonly after intracapsualr cataract surgery
Can occurs after phacoemulsification
Can progress centrally in rare cases
Axenfeld-Reiger Syndrome
(6)
Abnormal teeth
Abnormal facial bones
Maxillary hypoplasia
Redundant periumbilical skin
Pituitary abnormalities
Hypospadius
Peter’s Syndrome
(8)
80% bilateral
Heart abnormalities
GU abnormalities
Musculoskeletal abnormalities
Ear abnormalities
Palate abnormalities
Spine abnormalities
Increase in systemic findings with I-K touch
Gillespie Syndrome
(3)
Autosomal recessive
2% of aniridia
Cerebellar ataxia with mental retardation
Hallermann-Streiff Syndrome
Bird “facies”
Mikulicz Syndrome
(2)
Chronic dacroadenitis
Swollen salivary glands
Munnerlyn Formula
Ablation depth = (D/3) x (optical zone)2
Fraser Syndrome
(5)
Cryptophthalmos
Renal agenesis
Laryngeal agenesis
Syndactyly
Aural/genital anomalies
Trisomy 13
(6)
Anophthalmia
Synophthalmia
Microphthalmia
Coloboma with cartiledge
PHPV
Retinal dysplasia
Klippel-Trenaunay-Weber Syndrome
(5)
Unilateral or bilateral gigantism
Hemihypertrophy of the limbs
Intracranial angiomas
Associated with Sturge-Weber when there are lesions in the extremities
Ocular involvement is uncommon
Congenital glaucoma and conjunctival telangiectasia
MEN IIb
(8)
Autosomal dominant
Pheochromocytoma
Medullary thyroid carcinoma
Enlarged corneal nerves
Typical facies
Marfanoid
Submucosal neuromas
Dry eyes
Muir-Torre Syndrome
(2)
Multiple sebaceous gland neoplasia
Visceral cancers
Hereditary Benign Intraepithelial Dyskeratosis (HBID)
Haliwa-Saponi Indians of North Caroloina
Norries
(4)
X-linked
Bilateral malformed retina
Mental retardation
Deaf
Cogan’s Syndrome
(6)
Interstitial keratitis
Vertigo
Tinnitus
Hearing loss
Polyarteritis
URI prodrome
Cowden Disease
Trichilemmoma
Breast cancer
Thyroid cancer
GI cancer
Wallenberg Syndrome
(3)
Lateral medullary CVA
Hypothalimus/Pontine injury
Creates a 1st degree Horner’s Syndrome
Pancoast Tumor
Common tumor causing 2nd degree Horner’s syndrome
Talosa-Hunt Syndrome
(3)
Granulomatous inflammation in the cavernous sinus
Ie. Posterior pseudotumor
Treat with steroids
Refsum Disease
Increased phytanic acid
Bassen-Kornzweig Syndrome
(2)
Autosomal recessive
Abetalipoproteinemia
Usher Syndrome
(3)
Autosomal recessive
Pigmentary retinopathy
Deafness
Bardet-Biedl Syndrome
(8)
Autosomal recessive
Chromosome 16
Pigmentary retinopathy
Hypogenitalism
Polydactyly
Obese
Mild mental retardation
Progressive visual field loss
Lawrence-Moon Syndrome
(2)
Autosomal recessive
Bardet-Biedl Syndrome without polydactyly
Alstrom Syndrome
(3)
Bardet-Biedl Syndrome plus
Diabetes mellitus
Deafness
Kearns-Sayre Syndrome
(3)
CPEO
Complete heart block
Pigmentary retinopathy
Sorsby Macular Dystrophy
(5)
Autosomal dominant
Bilateral subfoveal CNV by 40yo
Numerous fine drusen-like deposits or a confluent plaques of faintly yellow material beneath the RPE of the posterior pole
Chromosome 22
Gene is TIMP3
Gyrate Atrophy
(6)
Autosomal recessive
Increased ornithine levels
Treat with restricted arginine and Vit B6
Hyperpigmented fundi
Lobular loss of RPE and choriocapillaris
Classic scalloped border
Ciancia Syndrome
(3)
Large ET
Cross fixation
Nystagmus
Morning Glory Disc
(7)
Female
Usually unilateral
Funnel-shaped staphalomatous excavation of the optic nerve and peripapillary retina
Emination of the retinal vessels from the periphery of the disc
Non-rhegmatogenous serous RD in 26-38%
Midline abnormalities
Need to R/O encephalocele
Spielmeyer-Vogt-Batten-Mayou Syndrome
(4)
Bull’s eye maculopathy
Seizure disorder
Dementia
Ataxia
Meretoja Syndrome
(4)
Type II lattice
Systemic amyloid
Cranial and peripheral neuropathies
Mask-like facies
Diffuse Unilateral Subacute Neuroretinitis (DUSN)
(3)
Toxocara canis
Baylisascaris procyonis
Ancylostoma caninum