Self-Induced Bilateral Retinal Detachments and Traumatic Cataracts in a Patient With Bohring-Opitz Syndrome
| Autor: | Robert W. Wong, Effie Z. Rahman, Madeline Hanes, C. Armitage Harper |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Down syndrome
medicine.medical_specialty genetic structures medicine.medical_treatment Vitrectomy Cataract Craniosynostoses chemistry.chemical_compound Cataracts Intellectual Disability Ophthalmology medicine Humans Silicone Oils Child Retina business.industry Retinal Detachment Retinal detachment Retinal medicine.disease eye diseases Bilateral Cataracts Treatment Outcome medicine.anatomical_structure chemistry Female Bohring–Opitz syndrome business |
| Zdroj: | Ophthalmic Surgery, Lasers and Imaging Retina. 52:400-402 |
| ISSN: | 2325-8179 2325-8160 |
| DOI: | 10.3928/23258160-20210628-08 |
| Popis: | A 9-year-old female with a history of Bohring-Opitz syndrome (BOS), Down syndrome, and autism initially presented with bilateral cataracts and a total retinal detachment in her left eye secondary to chronic self-injurious behavior. The authors report the first case of self-induced retinal detachment and traumatic cataracts in a patient with BOS. For patients who present with self-injurious behavior, the authors advocate for behavioral modifications at home, including the use of “no-no's,” supplemental medication if necessary, and behavioral therapy to reduce the risk of self-induced visual injury. The authors also suggest the use of 25-gauge vitrectomy with silicone oil for retinal detachment repair. Finally, given the high risk of irreversible vision loss from amblyopia and recurrent retinal detachments in children with BOS and self-injurious behavior, the authors recommend regular 2-month interval ophthalmic follow-up. [ Ophthalmic Surg Lasers Imaging Retina . 2021;52:400–402.] |
| Databáze: | OpenAIRE |
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