Leukocorie

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Leukocorie

  1. 1. DD: Leukocorie
  2. 2. *Detectie Leukocorie * (Blote oog) * Fototoestel met flits * Analoge camera * Digitale camera * Smartphone camera
  3. 3. Canadian retinoblastoma groupPHOTOGRAPHING RETINOBLASTOMA?
  4. 4. The Granny Test for Retinoblastoma* Pictures should be taken in a dimly lit room* The zoom feature on the camera can be used for a close-up view of the face/eyes* A flash must be used* The red eye reduction feature must be turned off* Pictures should be taken from a variety of angles with the child not always looking directly at the camera
  5. 5. * ECHTER: het digitale tijdperk …… * ALLES MOET ZO MOOI MOGELIJK * Red eye reduction! * Foto’s bewerkenLeukocoria and retinoblastoma- pitfalls of the digital age? Lancet 2012 March
  6. 6. * http://download.thelancet.com/images/journ alimages/0140- 6736/PIIS0140673611616449.fx1.lrg.jpg
  7. 7. *Fout negatieve leukocorie * MOET ALTIJD VOORKOMEN WORDEN!!!
  8. 8. *Etiologie Pseudo leukocoria *Reflectie op de optic disc *Strabismus *Software van de smartphone camera? * …. J.Pediatr Ophthalmol Strabismus 2010 Jan 1:1-3. Off-Axis Digital Flash Photography: a common cause of artefact Leukocoria in Children
  9. 9. *Vervolg van the Granny Test* Cell phone cameras, because of the different flash used (LED), are not successful in capturing retinoblastoma.
  10. 10. *Moderne tijd, mooie technieken… maar zo gek waren die oude foto camera’s nog niet..*Elke kind met leukocorie met welke camera dan ook moet onderzocht moeten worden*Gouden standaard blijft de fundoscopie.

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