Clinical Case Notes: Intraorbital Ophthalmic Artery Aneurysms

    Andrew Kleinschmidt, Tim Sullivan, Ken Mitchell
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    TLDR Eye exams are crucial for kids with 13q deletion syndrome, tamoxifen can cause vision loss, Propecia may lead to cataracts, Lipoid Proteinosis causes skin bumps, and OCT is useful for diagnosing macular diseases.
    In 2004, several case studies were conducted on various eye conditions. One study involved a 10-month-old boy with 13q deletion syndrome who developed bilateral retinoblastoma, emphasizing the need for regular eye examinations for children with this syndrome. Another case involved a 68-year-old woman with metastatic breast cancer who experienced vision loss due to tamoxifen toxic optic neuropathy, a rare side effect of her cancer treatment. A 43-year-old man developed bilateral cataracts after using Propecia (finasteride) for 3 years to treat early stage androgenic alopecia, marking the first reported case of Propecia-associated cataract. The document also discussed Lipoid Proteinosis, a rare, inherited disorder characterized by non-inflammatory, persistent papules on the skin and mucous membranes. Two clinical cases of Adult-onset Foveomacular Vitelliform Dystrophy (AOFVD) were diagnosed using Optical Coherence Tomography (OCT), demonstrating its usefulness in diagnosing various macular diseases.
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