Stars in Her Eyes

Nico Esterhuizen, B. Optom., Mark Lawrence, Optometrist Sunday, 19 January 2014

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27 YO CAUCASIAN FEMALE 

  - CC: ROUTINE EXAM

  - BEST CORRECTED ACUITY 20/20 O.U.

  - IOP 19 mmHG MED HX  

  - FAMILY GLAUCOMA, THYROID EYE DISEASE, MACULAR DEGENERATION

  - MEDS: SWITCHING ZYTOMIL, SERDEP, CYMGEN, GLUCOPHAGE FOR WEIGHT LOSS, TRIPELINE, FEMEDENE

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Impression

 

  • APPARENT INTRARETINAL CRYSTALLINE DEPOSITS IN MACULAR AREA
  • NO EVIDENCE OF RNFL COMPROMISE
  • NO EVIDENCE OF GCC COMPROMISE
  • SLIGHT THINNING PERIFOVEAL BUT NO EVIDENCE OF EDEMA THAT WOULD CONTRIBUTE TO EXUDATE FORMATION
  • RELATIONSHIPS TO CRYSTALLINE MACULOPATHY

DIFFERENTIAL DX OF CRYSTALLINE DEPOSITS IN MACULA OF YOUNG PATIENT

  • WEST AFRICAN CRYSTALLINE MACULOPATHY
  • GENETIC DISORDERS
    • BIETTIā€™S CRYSTALLINE DYSTROPHY
    • GYRATE ATROPHY
    • CYSTINOSIS
    • SJOGREN-LARRSON SYNDROME
    • PRIMARY HEREDITARY HYPEROXALURIA
  • TOXIC EXPOSURE
    • CANTHAXANTHINE..ORAL TANNING AGENT
    • TAMOXIFEN
    • NITROFURANTOIN
    • SECONDARY HYPEROXALURIA
    • METHOXYFLURANE
    • ETHYLENE GLYCOL
  • VASCULAR
    • TALC RETINOPATHY
    • IDIOPATHIC JUXTAFOVEAL TELANGIECTASIA
  • METABOLIC DISORDERS
    • SECONDARY HYPEROXALURIA
      • EXCESSIVE INGESTION OF OXALATES
      • HYPERABSORPTION OF OXALATES
        • SARCOID
        • CIRRHOSIS
        • SMALL BOWEL RESECTION
        • RENAL FAILURE

 

OXALATES

http://www.whfoods.com/genpage.php?tname=george&dbid=48

 

  • SOURCES
    • RHUBARB
    • SPINACH
    • BEET GREENS
    • OKRA
    • PARSLEY
    • LEEKS
    • COLLARD GREEN
  • THERE ARE A FEW, RELATIVELY RARE HEALTH CONDITIONS THAT REQUIRE STRICT OXALATE RESTRICTION. THESE CONDITIONS INCLUDE ABSORPTIVE HYPERCALCIURIA TYPE II, ENTERIC HYPEROXALURIA, AND PRIMARY HYPEROXALURIA.

FOR AN EXCELLENT REVIEW SEE

http://westcoastretina.com/WestCoastRetina/June-2011.html

 

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