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Hyperopia in Complicated Leber's Congenital Amaurosis
Linda R. Dagi, MD;
Monique J Leys, MD;
Ronald M. Hansen, PhD;
Anne B. Fulton, MD
Arch Ophthalmol. 1990;108(5):709-712.
Abstract
• We studied the refractive status of 13 children with Leber's congenital amaurosis. Seven had the disease complicated by neurological or other systemic abnormalities, while the other 6 patients had only ophthalmic abnormalities. All 13 patients were hyperopic. The magnitude of hyperopia did not differ significantly between the complicated and uncomplicated groups. Therefore, one cannot, as previously suggested, use the presence of high hyperopia to differentiate an uncomplicated form of Leber's congenital amaurosis from one complicated by neurologic or other systemic abnormalities. The concurrence of hyperopia with Leber's congenital amaurosis should not steer the physician away from careful neurologic systemic or biochemical evaluation of the child.
Author Affiliations
From the Departments of Ophthalmology, Harvard Medical School and Children's Hospital, Boston, Mass (Drs Dagi, Hansen, and Fulton), and University Hospital, Ghent, Belgium (Dr Leys).
Footnotes
Accepted for publication February 7, 1990.
Reprint requests to the Department of Ophthalmology, Harvard Medical School and Children's Hospital, 300 Longwood Ave, Boston, MA 02115 (Dr Fulton).
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