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   Table of Contents      
ARTICLES
Year : 1979  |  Volume : 27  |  Issue : 4  |  Page : 229

Study of ophthalmic lesions in rickets


S.D. Eye Hospital, Hyderabad, India

Correspondence Address:
P Siva Reddy
S.D. Eye Hospital, Hyderabad
India
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Source of Support: None, Conflict of Interest: None


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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

How to cite this URL:
Reddy P S, Lakshmamma K, Rao K S. Study of ophthalmic lesions in rickets. Indian J Ophthalmol [serial online] 1979 [cited 2020 Apr 2];27:229. Available from: http://www.ijo.in/text.asp?1979/27/4/229/32644

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 Top


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 Top


85 cases of rickets having ocular lesion were studied in detail.




 

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