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CASE REPORT OF RARE CASE IF GOLDENHAR SYNDROME IN A 3 YEARS OLD MAKE CHILD TITLE PROF TITLE PROFILE CASE REPORT AFFILIATION AUTHOURS NAME DR GOWHAR AHMAD SR CON OPHTHALMOLOGIST FLORENCE HOSPITAL CHANAPORA SRINAGAR KASHMIR UNIVERSITY OF J AND K COUNTRY INDIA EMAIL ADDRESS gowhar.ahmad1948@gmail.com KEY WORDS CONG LIMBAL DERMIOD PREAURICULAR SKIN TAG PREAURICULAR APPENDAGE SQUINT ANOPHTHALMOS COLOBOMAS OF LID IRIS RETINA ASTIGMATISM MICROPHTHALMOS BLEPHROPHMOSIS SYNDTOME FACIAL ASYMETRY HIGH ARCHED PALATE HARE KIO CLEFT PALATE DEFECTS IN KIDNEY DOUBLE URETERS HYDRONEPHROSIS DEFECTS IN LIMBS SPINE CING HEART UNDERLYING ORBITAL INVOLEMENT DENTAL ANAMOLIES HEARING DEFECT IMPAIRMENT OF MEMORY MENTAL FACALITY 7TH N INVOLVEMENT TRIGEMINAL ANASTHESIA ABASTRACT IT WAS MAURICCE GOLDENHAR AN AUSTRIAN OPHTHALMOLOGIST IN THE YEAR 1850 WAS THE FIRST TO DESCRIBE THE SYNDROME COMPLEX CHARETERISED BY CONG PRESENCE OF LIMBAL DERMIID WITH CONG ASSOCIATED ORESENCE OF PREAURICULAR SKIN TAG OR APPENDAGE SOMETIMES PRESENCE OF SQUINT ANOPHTHALMOS COLOBOMAS OF THE U LID IRIS RETINA ASTIGMATISM MICROPHTHALMOS BLEPHROPHMOSIS SYNDROME MAY ALSO BE SEEN HOWEVER IT IS VERY RARE G H S IS ALSO TERMED AS OCULO AURICULO VERTEBRAL SYNDROME AND CRANIIFACIAL SYNDROME INVOLVIMG HEAD FACE EAR NOSE SOFT PALATE AND MANDIBLE 80 TO 85 CASES OF G H S ARE NORMAL from.visual AND MENTAL FACALITY POINT OF VIEW IT IS OMLY IN 10 TO 15 PERECENT CASES OF G H S THEIR SRE ADDITIONAL CONG ANAMOLIES WHICH ARE DUE TO INCOMPLETE DEVOLPMENT OF 1ST AND SECOND BRANCHIAL ARCH DUE TO DEFECTS IN GENES NOT INHERETED AUTOSOMAL DOMINANT AND RECESSIVE ALSO DUE TO MATERNAL GESTATIONAL D M IR EXPOSURE TO RUBELLA HEAMOPHILUS CYTOMEGALIC INC VIRUS OR INTAKE OF THALIDOMIDE COCAINE AND RETINIOC ACID IN THE FIRST TRIMESTER OF PREGNANCY ONE HAS TO WORK UP FOR THESE ANAMOLIES IN THE FIRM OF USG ABDOMEN XRAY LIMBS SPINE ECHOCARDIOGRAPHY MRI ORBITS OPHTHALMIC EXAMINATION DENTAL EXAMINATION HEARING TESTS E E G CONG DERMIODS ARE USUALLY UNILATERAL CAN BE BILTERAL THOUGH RARE CAN INVOLVE ENTIRE CORNEA BUT MAY BE CONFINED TI CONJUCTIVA ONLY INCIDENCE 1 IN 10 000 INFEROTEMPORAL SITE IS TGE COMMONEST 70 PERCENT MALE FEMALE RATIO 3 TO 2 GRADED ACCORDING TO CONEAL INVOLVEMENT GRADE 1 EPETHELIAL INVOLVEMENT GRADE 2 DESMETS MEMBRANE INVOLEMENT GRADE 3 INVOLVEMENT OF ENTIRE ANT SEGMENT CASE REPORT 3 YEARS OLD MALE CHILD WAS SEEN BY ME SOME TIME AGO WITH PARENTS HAVING NOTICED SMALL PALISH WHITE LESION IN THE INFEROTEMPRAL SITE IF LIMBUS R EYE WITH ASSOCIATED CONG PRESENCE OF L SIDED PREAURICULAR SKIN TAG SYNDROMECOMPKEX DIAGNOSTIC OF G H S FT DELIVERED CHILD FROM NON COUSIN. MARRIED COUPLE FOLLOWING LSCS NO.HISTORY OF EXPOSURE TO OXYGEN JAUNDICE BREAST FED NORMAL MIKE STONES VISION MYDRIATIC REFRACTION AND FUNDII NORMAL NO OTHER ASSOCIATED CONG ANAMOLIES THIS CHILD HAD LIMBAL DERMIOD NOT INVOLVING VISUAL AXIS NEEDED ONLY REASSURANCE FOR THE PARENTS AND OBSERVATION HOWEVER IF THE LIMBAL DERMIOD INVOLVES VISUAL TREATMENT IS SURGICAL WHICH IS BOTH VISUAL AND COSMOTIC SURGICAL MODALITIES ARE LAMELLAR KERATAPLASTY AUTOGRAFT STEM CELL GRAFT SMILE LENTICULE TATOOINING FIBRIN GLUE HERE AFTER EXCITON OF DERMIOD.ITNIS TATTOED TO GET ORIGINAL COLOUR THEN CORNEAL LENTICULE IS OUT IN SITU HELD IN POSITION WITH FIBRIN GLUE SINCE NO STICHES ARE APPLIED SO PIST OPERATIVE PAIN AND ASTIGMATISM IS LESS DISCUSSION G H S IS A GENETIC DISORDER CHARETERISED BY CONG PRESENCE OF CONG LIMBAL DERMIOD WITH CIG ASSOCIATED PRESENCE OF PREAURICULAR SKIN TAG OR APPENDAGE WAS DESCRIBED FIRST BY AN AUSTRIAN OPHTHALMOLOGIST MAURICCE GOLDENHAR IN THE YEAR 1850 80 TO 85 PERCENT CASES OF G H S ARE NORMAL FROM VISUAL AND MENTAL FACALITY POINT OF VIEW ONLY 10 TO.15 PERCENT CASES OF ADDITIONAL CONG ANAMOLIES REFENCES WE GAVE G H S SUPPORT GROUPS THEIR ARE FAMILIES OF G H S 17 DUCH FAMILIES IG G H S ARE SEEN IN GREECE CHILDREN BORN IN MIDDLE EAST IN GULF WAR BORN IN DIFFERENT MILIATRY HOSPITALS HAD HIGH INCEDENCE OF G H S MITTAL ETAL IN YEAR 1968 IN INDIAN JOURNAL OF OPHTHALMOLOGY REPORTED 3 CASES OF OPTIC NERVE DRUSENS ASSOCIATED WITH G H S

MINI REVIEW ON BIL CONG CORNEAL DYSTROPHY AND ITS RARE CONG ANAMOLIES AUTHOURS NAME DR GOWHAR AHMAD SR CON OPHTHALMOLOGIST FLORENCE HOSPITAL CHANAPORA SRINAGAR KASHMIR INDIA EMAIL ADDRESS GOWHAR.AHMAD1948@GMAIL.COM CONG CORNEAL DYSTROPHY IS A RARE CONG DISORDER WHOSE EXACT CSUSE IS NOT KNOWN IT IS A KIND OF CONDITION CHARETERISED ZBY DEPISITION OF SOME UNKNOWN SUBSTANACE IN TGE CORNEAL STROMA EXACT CAUSE NIR KNOWN HOWEVER HEREDOFAMALIAL TENDENCY PLAYS AN IMPORTANT FACTOR CONG COR DYSTOPHY IS USUALKY BILTERAL WHERAS CONG CORNEAL DEGENERATION IS UNILATERAL AND OF NON HERDETERY EXISTENCE CLINICAL CLASSEFECATION OF CONG CORNEAL DYSTROPHY IS LESIONS IN TGE CORNEA OF AN UNKNOWN ATEOLOGY WHICH MAY MANIFEST EITHER AT BIRTH OR AT 1ST IR 2ND DECADE OF LIFE MAY REMAIN STATIONERY OR PROGRESSIVE HAS GOT STRONG HERODOFAMALIAL TENDENCY BIL CENTRAL SYMETRICAL CORNEAL OPACITY WITH ABSENCE OF DEEP VASCULARISATION AND IMPAIRED CORNEAL SENSATIONS IS CONG CORNEAL DYSTROOHY UNLESS PROVED OTGERWISE DOME OF RARE ASSOCIATED CONG ANAMOLIES ARE CONG GLAUCOMA KERATACONUS ANT STAPHYLOMA CONG ABSENCE OF DEDT MEMBRANE DEAFNESS C H E D K C SICCA MEDULLATED OPTIC NERVE FIBERS PTOSIS U KID CONJUCTIVAL XEROSIS

RECENT ADVANCES IN THE BLOOD SUPPLY OF OPTIC NERVE HEAD AUTHOURS NAME DR GOWHAR AHMAD SR CON OPHTHALMOLOGIST FLORENCE HOSPITAL CHANAPORA SRINAGAR KASHMIR INDIA E-MAIL ADDRESS gowhar.ahmad1948@gmail.com WE KNOW OPTIC NERVE IS SUPPLIED BY POST CILIARY ARTERY BRACH OF OPHTHALMIC ARTERY WHICH ARISES FROM IST DIV OF INTERNAL CAROTID ARTERY DISTAL TO CAVERNOUS SINUS S S HARRY A WIRLD FAMOUS ANATOMIST WHO HAS WRITTEN LOT OF ARTIVLES IN B J O IN RECENT ADVANCES OF BLOOD SUPPLY OF OPTIC NERVE HEAD SAYS THAT P C A AFTER SUPPLYING THE DISC HAS GOT SEGMENTAL DISTRIBUTION IN CHORIOD AND CHORIODAL VESSELS ARE END ARTERIES IT FOLLOWS THEIR FORE THAT ANY CONDITION WHICH INTERFERES WITH BLOOD SUPLY OF PC A NOT ONLY PRODUCES CHANGES IN OPTIC NERVE HEAD BUT IN EPI PAPILLARY CHORIOD CHATRERISED BY CAVERNOUS DEGENERATION OF OPTIC NERVE HEAD FILLING OF BLOOD IN OPTIC N HEAD AND EPIPAPILLARY CHIRIOD DEPEND UOP DIFFERENCE OF PERFUSION PRESDURE AT OPTIC N HEAD AND EPIPAPILLARY CHIRIOD GREATER THE THAT PERFUSION PRESSURE BETTER IS THE FILLING IN A WAY IF IOP IS LOW PERFUSION PRESSURE IS HIGH SO BETTER FILLING AND VISE VERSA IF IOP IS HIGH PERFUSION PRESSURE IS LOW SO NOT BETTER FILLING HARRY'S CONCEPT OF RECENT ADVANCES IN BLOOD SUPPLY OF OPTIC NERVE HEAD GIVES USCAN IDEA OF ATEOPATHOGENESIS OF ANT ISCHEMIC OPTIC NEUROPATHY BITH ARTERITIC AND NON ARTERITIC

MEDECAL TREAMENT OF MYOPIA AUTHORS NAME DR GOWHAR AHMAD SR CON OPHTHALMOLOGIST FLORENCE HOSPITAL CHANAPORA SRINAGAR KASHMIR INDIA EMAIL ADDRESS GOWHAR.AHMAD1948@GMAIL.COM ARTICLE NAME ORTHOKERATALOGY ORTHOKERATALOGY IS A KIND OF MODALITY FOR M3DICAL TREAMENT IF MYOPIA IN CHILDREN OF 6 NTO 8 YEARS OF AGE BY SPECIAL TYPES OF CONTACT LENSES KNOWN AS ARTHO L CONTACT LENSES WHEN PUT AT NIGHT BY CHILDREN OF 6 TO 8 YEARS OF AGE THEY CAUSE CORNEAL RESHAPING AND UN TGE MORNING MYOPIA GETS CORRECTED FIR COUPLE OF DAYS ALSO VERY GOOD FIR CHILDREN WHO WANT TI GI FOR SPORTS THESES SPECIAL C LENSES ARE ALSO KNOWN TO REGRESS PROGRESSION OF MYOPIA BY 40 PERCENT ALSI HAS BEEN TRIED FOR HYPERMETROPIA PRESBYOPIA ADTIGMATISM

MINIREVIEW AUTHOURS NAME DR GOWHAR AHMAD SR CON OPHTHALMOLOGIST FLORENCE HOSPITAL CHANAPORA SRINAGAR KASHMIR INDIA NAME OF THE ARTICLE SOME OF THE CONG ANAMOLIES ASSOCIATED WITH OPTIC DISC 1 CONG PUT OF DISC 2 CONG COLOBOMA OF DISC 3 CONG TILTED DISC SYNDTOME 4 HYPOPLASIA OF DISC 5 DRUSEN OF DISC 6 MEDULLATED OPTIC NERVE FIBERS 7 MORNING GLORY DISC SYNDROME 8 PERI PAPILLARY POST STAPHYLOMA

Ok most welcome

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Let the judges be from the same speciality of posts. Not computer specialist

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