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Blue
sclera
By
Anam Sehreen
Doctor of optometry
Blue Sclera
It is an asymptomatic condition characterized by marked,
generalized blue discoloration of sclera due to thinning or
transparency of sclera which results into visualization of the
underlying uvea.
Associations
Blue sclera is a typical association of osteogenesis imperfecta.
Its rare associations include:
Marshall–Smith syndrome (accelerated prenatal skeletal maturation
and growth)
Russell–Silver syndrome (short stature and other features)
Hallermann–Streiff–François syndrome
Associations or causes
Most associations or causes include:
◦ Osteogenesis imperfecta
◦ Marfan's syndrome
◦ Ehlers-Danlos syndrome
◦ Buphthalmos
◦ High myopia
◦ Healed scleritis
◦ Pseudoxanthoma elasticum
Osteogenesis imperfecta
It is an inherited disease of connective tissue, usually
caused by defects in the synthesis and structure of type 1
collagen.
Types
There are multiple types, at least two of which have ocular features:
Type I
It is autosomal dominant. Patients suffer few fractures with little or
no deformity, hyperextensible joints, dental hypoplasia, deafness
and easy bruising. Possible ocular features include blue sclera,
megalocornea and corneal arcus.
Types
Type IIA
It is either sporadic or inherited in an autosomal dominant manner.
Systemic features include deafness, dental anomalies, multiple
fractures and short limbs, with death in infancy from respiratory
infection. Ocular manifestations include blue sclera and shallow
orbits.
Ehlers-Danlos syndrome
In it the ocular features are subluxation of lens and blue sclera.
The systemic features include hyperextensibility of joints and loose
skin with folds.
Ehlers-Danlos syndrome type VI
Ehlers–Danlos syndrome type VI (ocular sclerotic) is an inherited
disorder of collagen formation.
Patients have thin and hyper-elastic skin that bruises easily and heals
slowly; joints are hypermobile, which may lead to recurrent
dislocation and falls.
Ehlers-Danlos syndrome type VI
Cardiovascular disease can be severe, including a:
o Bleeding diathesis
o Dissecting aneurysms
o Spontaneous rupture of large blood vessels
o Mitral valve prolapse
Types
There are 6 major types but type VI and, rarely, type IV, are
associated with ocular features and blue sclera, these may include:
o Scleral fragility (globe rupture may be caused by mild trauma)
o Epicanthic folds
o Microcornea
Types
o Keratoconus
o Keratoglobus
o Ectopia lentis
o Myopia
o Retinal detachment
blue sclera.pptx

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blue sclera.pptx

  • 1.
  • 3. Blue Sclera It is an asymptomatic condition characterized by marked, generalized blue discoloration of sclera due to thinning or transparency of sclera which results into visualization of the underlying uvea.
  • 4.
  • 5. Associations Blue sclera is a typical association of osteogenesis imperfecta. Its rare associations include: Marshall–Smith syndrome (accelerated prenatal skeletal maturation and growth) Russell–Silver syndrome (short stature and other features) Hallermann–Streiff–François syndrome
  • 6. Associations or causes Most associations or causes include: ◦ Osteogenesis imperfecta ◦ Marfan's syndrome ◦ Ehlers-Danlos syndrome ◦ Buphthalmos ◦ High myopia ◦ Healed scleritis ◦ Pseudoxanthoma elasticum
  • 7. Osteogenesis imperfecta It is an inherited disease of connective tissue, usually caused by defects in the synthesis and structure of type 1 collagen.
  • 8.
  • 9.
  • 10.
  • 11. Types There are multiple types, at least two of which have ocular features: Type I It is autosomal dominant. Patients suffer few fractures with little or no deformity, hyperextensible joints, dental hypoplasia, deafness and easy bruising. Possible ocular features include blue sclera, megalocornea and corneal arcus.
  • 12. Types Type IIA It is either sporadic or inherited in an autosomal dominant manner. Systemic features include deafness, dental anomalies, multiple fractures and short limbs, with death in infancy from respiratory infection. Ocular manifestations include blue sclera and shallow orbits.
  • 13. Ehlers-Danlos syndrome In it the ocular features are subluxation of lens and blue sclera. The systemic features include hyperextensibility of joints and loose skin with folds.
  • 14. Ehlers-Danlos syndrome type VI Ehlers–Danlos syndrome type VI (ocular sclerotic) is an inherited disorder of collagen formation. Patients have thin and hyper-elastic skin that bruises easily and heals slowly; joints are hypermobile, which may lead to recurrent dislocation and falls.
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  • 18. Ehlers-Danlos syndrome type VI Cardiovascular disease can be severe, including a: o Bleeding diathesis o Dissecting aneurysms o Spontaneous rupture of large blood vessels o Mitral valve prolapse
  • 19. Types There are 6 major types but type VI and, rarely, type IV, are associated with ocular features and blue sclera, these may include: o Scleral fragility (globe rupture may be caused by mild trauma) o Epicanthic folds o Microcornea
  • 20. Types o Keratoconus o Keratoglobus o Ectopia lentis o Myopia o Retinal detachment