Leber congenital amaurosis 6

ICD-10 Codes

Related ICD-10:

Description

Leber Congenital Amaurosis (LCA) Description

Leber congenital amaurosis (LCA) comprises a group of early-onset childhood retinal dystrophies characterized by vision loss, nystagmus, and severe retinal degeneration [3][6]. This rare genetic condition affects the way babies' retinas develop, leading to significant visual impairment or blindness from birth [2].

Key Features:

  • Vision Loss: Severe vision loss is a hallmark of LCA, with affected individuals often being blind or having very limited vision at birth [4][5].
  • Nystagmus: Nystagmus, an involuntary movement of the eyes, is another common feature of LCA [3][6].
  • Retinal Degeneration: Severe retinal degeneration is a key characteristic of LCA, leading to progressive visual loss over time [1][4].

References:

[1] Context result 1 [2] Context result 2 [3] Context result 3 [4] Context result 4 [5] Context result 5 [6] Context result 6

Additional Characteristics

  • Nystagmus
  • Vision Loss
  • Retinal Degeneration

Signs and Symptoms

Leber's Congenital Amaurosis (LCA) is a rare genetic condition that affects the retina, leading to blindness and low vision in affected individuals. The signs and symptoms of LCA can vary from person to person, but here are some common features:

  • Photophobia: Affected individuals often experience sensitivity to light, which can be uncomfortable and even painful.
  • Nystagmus: This is a condition where the eyes move involuntarily, often in a rhythmic or jerky manner. Nystagmus can be a sign of LCA, especially if it's present from birth.
  • Extreme farsightedness: People with LCA may have difficulty seeing close objects clearly, which can make everyday tasks like reading and writing challenging.
  • Sluggish pupillary responses: The pupils of affected individuals may not react normally to light, which can be a sign of LCA.
  • Roving eye movements: Infants with LCA may exhibit roving eye movements, where their eyes move back and forth without any apparent reason.

These symptoms can appear at birth or within the first few months of life. In some cases, affected individuals may also experience other signs like convergent strabismus (crossed eyes) or keratoconus (a condition that affects the shape of the cornea).

It's worth noting that Franceschetti's oculodigital sign is a specific sign associated with LCA, where affected individuals poke, press, and rub their eyes with a knuckle or finger. This behavior often results in a sensation of relief.

References:

  • [1] Leber's congenital amaurosis (LCA) is a rare genetic condition that causes blindness and low vision.
  • [2] This sign consists of affected individuals poking, pressing, and rubbing their eyes with a knuckle or finger. Poking their eyes often results in the sensation ...
  • [3] Other features include photophobia, involuntary movements of the eyes (nystagmus), and extreme farsightedness.
  • [4] Patients usually present with nystagmus, sluggish or near-absent pupillary responses, severely decreased visual acuity, photophobia, and high hyperopia.
  • [5] Sluggish pupillary responses, roving eye movement, photophobia, high hyperopia, nystagmus, convergent strabismus, or keratoconus may occur depending on the ...
  • [6] Symptoms. Often within an affected infant's first few months of life, parents notice a lack of visual responsiveness and roving eye movements, known as ...

Additional Symptoms

  • Keratoconus
  • Extreme farsightedness
  • Sluggish pupillary responses
  • Convergent strabismus
  • Franceschetti's oculodigital sign
  • Roving eye movements
  • photophobia
  • nystagmus

Diagnostic Tests

Leber Congenital Amaurosis (LCA) 6 is a severe retinal dystrophy that manifests in early childhood with symptoms such as vision loss, nystagmus, and retinal dysfunction. Diagnostic tests for LCA 6 are crucial for establishing an accurate diagnosis.

Electroretinogram (ERG): This test measures the electrical activity of the retina and is

Additional Diagnostic Tests

  • Electroretinogram (ERG)

Treatment

Current Drug Treatments for Leber Congenital Amaurosis

While there are no definitive cures for Leber congenital amaurosis (LCA), several drug treatments have shown promise in improving vision and managing symptoms. Here

Recommended Medications

đź’Š Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

Differential Diagnosis of Leber Congenital Amaurosis

Leber congenital amaurosis (LCA) is a rare and severe form of inherited retinal dystrophy that affects the retina, leading to significant visual impairment or blindness at birth. When diagnosing LCA, it's essential to consider other conditions that may present with similar symptoms.

Conditions to be Considered in the Differential Diagnosis

According to various medical sources [1, 5, 11], the following conditions should be considered in the differential diagnosis of Leber congenital amaurosis:

  • Hereditary optic atrophy
  • Congenital optic atrophy
  • Retarded myelinization of the optic nerve
  • Retinitis pigmentosa
  • Alström syndrome
  • Joubert syndrome

Electroretinography (ERG) and Optical Coherence Tomography (OCT)

In addition to a comprehensive eye exam, electroretinography (ERG) and optical coherence tomography (OCT) scans may be used to help diagnose LCA [6, 10]. These tests can provide valuable information about the electrical activity in the retina and the structure of the retinal tissue.

References

[1] Table 1. Retinal Disorders to be Considered in the Differential Diagnosis of LCA/EOSRD. [5] Leber congenital amaurosis (LCA) is a group of severe recessively inherited, early infantile onset rod–cone dystrophies. [6] How is Leber’s congenital amaurosis diagnosed? [10] Core tip: Leber congenital amaurosis (LCA) is the most severe retinal dystrophy causing blindness before the age of 1 year. [11] Leber congenital amaurosis (LCA) is a retinal dystrophy defined by blindness and responses to electrophysiological stimulation (Ganzfeld electroretinogram (ERG)) below threshold, associated with severe visual impairment within the first year of life.

Additional Differential Diagnoses

Additional Information

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