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Clinical manifestations of congenital aniridia.
[aniridia]
To
study
the
various
clinical
manifestations
associated
with
congenital
aniridia
in
an
Indian
population
.
In
this
retrospective
,
consecutive
,
observational
case
series
,
all
patients
with
the
diagnosis
of
congenital
aniridia
seen
at
the
institute
from
January
2005
to
December
2010
were
reviewed
.
In
all
patients
,
the
demographic
profile
,
visual
acuity
,
and
associated
systemic
and
ocular
manifestations
were
studied
.
The
study
included
262
eyes
of
131
patients
with
congenital
aniridia
.
Median
patient
age
at
the
time
of
initial
visit
was
8
years
(
range
:
1
day
to
73
years
)
.
Most
cases
were
sporadic
and
none
of
the
patients
had
parents
afflicted
with
aniridia
.
The
most
common
anterior
segment
abnormality
identified
was
lenticular
changes
.
Cataract
was
the
predominant
lens
finding
,
observed
in
93
of
231
(
40
.
3
%
)
phakic
eyes
.
Other
lens
abnormalities
were
subluxation
,
coloboma
,
posterior
lenticonus
,
and
microspherophakia
.
Corneal
involvement
of
varying
degrees
was
seen
in
157
of
262
(
59
.
9
%
)
eyes
,
glaucoma
was
identified
in
95
of
262
(
36
.
3
%
)
eyes
,
and
foveal
hypoplasia
could
be
assessed
in
230
of
262
(
87
.
7
%
)
eyes
.
Median
age
when
glaucoma
and
cataract
were
noted
was
7
and
14
years
,
respectively
.
None
of
the
patients
had
Wilm
's
tumor
.
Congenital
aniridia
was
commonly
associated
with
classically
described
ocular
features
.
However
,
systemic
associations
were
characteristically
absent
in
this
population
.
Notably
,
cataract
and
glaucoma
were
seen
at
an
early
age
.
This
warrants
a
careful
evaluation
and
periodic
follow-up
in
these
patients
for
timely
identification
and
appropriate
management
.
Diseases
Validation
Diseases presenting
"congenital aniridia"
symptom
aniridia
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