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Ocular manifestations and visual functions in patients with Fanconi anaemia
Karolinska Institutet, Sweden.
Karolinska Institutet, Sweden. (Äldres hälsa och välfärd)ORCID iD: 0000-0002-5976-5193
Karolinska Institutet, Sweden.
Karolinska Institutet, Sweden.
2014 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 92, no 2, p. 171-178Article in journal (Refereed) Published
Abstract [en]

Purpose: Fanconi anaemia (FA) is a multisystemic disorder with ocular implications. This study aims to describe visual function, ocular characteristics andvisual processing skills in patients with FA after haematopoietic stem cell transplantation. Methods: Ten patients with FA, ages 8-17years, underwent ophthalmological examinations, corneal, periocular and fundus photography, visual evoked potentials (VEPs), visual fields and ocular motor and visual processing information tests. Results: Best-corrected decimal visual acuity was ≥0.65 in all 20 eyes. Microcornea was present in 18 of 18 eyes, short axial lengths in six of six eyes, steep corneal curvatures in four of six eyes, ptosis in 14 of 16 eyes, short palpebral fissures in 15 of 16 eyes and hypotelorism in three of seven patients. Optic disc areas were smaller in patients with FA compared to controls (p=0.0003 right, p=0.0003 left eye). Visual fields were abnormal in 4 of 18 eyes, while VEP was abnormal in 1 of 20 eyes. Eight patients had ocular motor dysfunction, while nine of 10 patients showed delay in visual processing skills. Conclusion: Patients with FA can present with microcornea, microphthalmia, ptosis, steep corneal curvatures, small optic discs, ptosis and delay in visual processing skills. Detailed ophthalmological and visual processing skills assessments and developmental investigations are important to detect impairments and facilitate appropriate support.

Place, publisher, year, edition, pages
2014. Vol. 92, no 2, p. 171-178
Keywords [en]
Fanconi anaemia – microcornea – optic nerve hypoplasia – ptosis – visual processing skills
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-22046DOI: 10.1111/aos.12132Scopus ID: 2-s2.0-84877092177OAI: oai:DiVA.org:mdh-22046DiVA, id: diva2:658922
Available from: 2013-10-23 Created: 2013-10-23 Last updated: 2017-12-06Bibliographically approved

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