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ARTICLES |
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Year : 1979 | Volume
: 27
| Issue : 4 | Page : 229 |
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Study of ophthalmic lesions in rickets
P Siva Reddy, K Lakshmamma, K Sureshchander Rao
S.D. Eye Hospital, Hyderabad, India
Correspondence Address: P Siva Reddy S.D. Eye Hospital, Hyderabad India
Source of Support: None, Conflict of Interest: None | Check |
How to cite this article: Reddy P S, Lakshmamma K, Rao K S. Study of ophthalmic lesions in rickets. Indian J Ophthalmol 1979;27:229 |
This is an attempt to detect the various ophthalmic abnormalities in Paediatric Rickets. During the period 1973-1977 eighty five rickets cases were collected between 1 to 12 years age group.
Observations | | |
Out of 85 cases, 60 (70%) were vitamin D responsing, and 25 (30%) were refractory rickets, of these 12 cases (14%) were hypophosphatemic type, 2 (2.5%) cases hypocalcemic type, 2 cases Fanconi's syndrome and 1 case Lowe's syndrome. Eight cases were clinically rickets without any deficiency levels in the blood.
In 20% cases refraction under atropinisation revealed: hypermetropia-12%, emmetropia6% and myopia 2/. 60% rickets children (51 cases) showed associated deficiency signs like xerosis-20%; Bitot spots-15%; night blindness -20%; keratomalacia-2%; corneal opacities 6% and congenital cataract 2%.
Out of 40% refractory rickets (34 cases), 3% corneal dystrophy, 6% congenital cataract, corneal cystenosis in the form of Juve.iile acrus senilis 1 case, congenital glaucoma with pseudoproptosis I case, optic atrophy 2 cases, retinal degeneration with night blindness 8 cases. One case showed a typical scleral rickets with signs of blue sclera and proptosis.
Out of 12 hypophosphatemic rickets, 8 cases (75%) showed eye lesions like cataract, glaucoma, and corneal dys copies. Hypocalcimic cases showed mental retardation with optic atrophy in 50%.
Summary | | |
85 cases of rickets having ocular lesion were studied in detail.
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