Papillorenal syndrome natural history, complications and prognosis: Difference between revisions
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{{CMG}} {{AE}} {{Shivam Singla}} | {{CMG}} {{AE}} {{Shivam Singla}} | ||
== Overview == | ==Overview== | ||
== Natural History == | ==Natural History== | ||
== Complications == | ==Complications== | ||
== Prognosis == | ==Prognosis== | ||
The prognosis for renal coloboma syndrome depends primarily on the treatment the patient is receiving. | The prognosis for renal coloboma syndrome depends primarily on the treatment the patient is receiving. Whether the patient is receiving an appropriate treatment or not plays a major role in the prognosis of patients with RCS | ||
Renal failure or ESRD can occur at any age and the treatment modalities reserved for this condition are dialysis and renal transplantation. Formal longitudinal studies of visual prognosis have not been carried out<ref name="urlwww.orpha.net">{{cite web |url=https://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=1475 |title=www.orpha.net |format= |work= |accessdate=}}</ref>. | Renal failure or ESRD can occur at any age and the treatment modalities reserved for this condition are dialysis and renal transplantation. Formal longitudinal studies of visual prognosis have not been carried out<ref name="urlwww.orpha.net">{{cite web |url=https://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=1475 |title=www.orpha.net |format= |work= |accessdate=}}</ref>. | ||
The prognosis for renal coloboma syndrome is worse if there is the presence of congenital anomalies in the patient<ref name="urlRenal-Coloboma Syndrome | Syndromes: Rapid Recognition and Perioperative Implications | AccessAnesthesiology | McGraw-Hill Medical">{{cite web |url=https://accessanesthesiology.mhmedical.com/content.aspx?bookid=852§ionid=49518139 |title=Renal-Coloboma Syndrome | Syndromes: Rapid Recognition and Perioperative Implications | AccessAnesthesiology | McGraw-Hill Medical |format= |work= |accessdate=}}</ref>. Like if the patient with renal coloboma syndrome has underlying concomitant congenital heart disease ( cyanotic), anomalies with the brain and spinal cord, and esophageal atresia then the prognosis in this condition is bad. | The prognosis for renal coloboma syndrome is worse if there is the presence of congenital anomalies in the patient<ref name="urlRenal-Coloboma Syndrome | Syndromes: Rapid Recognition and Perioperative Implications | AccessAnesthesiology | McGraw-Hill Medical">{{cite web |url=https://accessanesthesiology.mhmedical.com/content.aspx?bookid=852§ionid=49518139 |title=Renal-Coloboma Syndrome | Syndromes: Rapid Recognition and Perioperative Implications | AccessAnesthesiology | McGraw-Hill Medical |format= |work= |accessdate=}}</ref>. Like if the patient with renal coloboma syndrome has underlying concomitant congenital heart disease ( cyanotic), anomalies with the brain and spinal cord, and esophageal atresia then the prognosis in this condition is bad. | ||
Ocular prognosis mainly depends on the severity or location of colobomas in the eye ( most importantly in relation to the optic nerve and macular involvement) as well as on any complications like the presence of retinal detachment. | |||
The prognosis in patients with morning glory syndrome is usually poor<ref name="urlMorning Glory Syndrome - American Academy of Ophthalmology">{{cite web |url=https://www.aao.org/disease-review/neuro-ophthalmology-morning-glory-syndrome |title=Morning Glory Syndrome - American Academy of Ophthalmology |format= |work= |accessdate=}}</ref>. | |||
Formal Longitudinal studies on visual prognosis of renal coloboma syndrome has not been carried out, However decreased visual acuity over time has been reported and not an uncommon manifestation seen in patients with renal- coloboma syndrome. | |||
Revision as of 14:25, 29 September 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivam Singla, M.D.[2]
Overview
Natural History
Complications
Prognosis
The prognosis for renal coloboma syndrome depends primarily on the treatment the patient is receiving. Whether the patient is receiving an appropriate treatment or not plays a major role in the prognosis of patients with RCS
Renal failure or ESRD can occur at any age and the treatment modalities reserved for this condition are dialysis and renal transplantation. Formal longitudinal studies of visual prognosis have not been carried out[1].
The prognosis for renal coloboma syndrome is worse if there is the presence of congenital anomalies in the patient[2]. Like if the patient with renal coloboma syndrome has underlying concomitant congenital heart disease ( cyanotic), anomalies with the brain and spinal cord, and esophageal atresia then the prognosis in this condition is bad.
Ocular prognosis mainly depends on the severity or location of colobomas in the eye ( most importantly in relation to the optic nerve and macular involvement) as well as on any complications like the presence of retinal detachment.
The prognosis in patients with morning glory syndrome is usually poor[3].
Formal Longitudinal studies on visual prognosis of renal coloboma syndrome has not been carried out, However decreased visual acuity over time has been reported and not an uncommon manifestation seen in patients with renal- coloboma syndrome.
Prognosis [ 9 ] The prognosis for vision depends on the severity and location of the coloboma (particularly in relation to the optic nerve, macula and maculopapular bundle) and on any complications such as retinal detachment or amblyopia. [patient.info]
Treatment and follow-up The visual prognosis in individuals with morning glory disc anomaly is poor. [aao.org]
Treatment and prognosis The main clinical problem for patients with COACH syndrome is progressive portal hypertension and liver failure. Treatment aims to reduce symptoms and prevent complications. [radiopaedia.org]