{"id":74681,"date":"2022-01-26T17:11:55","date_gmt":"2022-01-26T17:11:55","guid":{"rendered":"https:\/\/www.atlasrleye.com\/lchad-deficiency\/clinical-case-2\/"},"modified":"2024-03-17T22:58:01","modified_gmt":"2024-03-17T22:58:01","slug":"clinical-case-2","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/en\/lchad-deficiency\/clinical-case-2\/","title":{"rendered":"Clinical Case 2"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_custom_heading text=&#8221;RETINAL DYSTROPHIES AND SYNDROMES&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632807269-1444524b-3ed4|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; add_icon=&#8221;true&#8221; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading text=&#8221;LCHAD Deficiency &#8211; Clinical Case 2&#8243; font_container=&#8221;tag:h1|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Flchad-deficiency%2F|title:LCHAD%20DEFICIENCY|&#8221;]<div class=\"ult-spacer spacer-69df105dd5027\" data-id=\"69df105dd5027\" data-height=\"70\" data-height-mobile=\"70\" data-height-tab=\"70\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"ult-spacer spacer-69df105dd5091\" data-id=\"69df105dd5091\" data-height=\"10\" data-height-mobile=\"10\" data-height-tab=\"10\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><div class=\"ult-spacer spacer-69df105dd50d8\" data-id=\"69df105dd50d8\" data-height=\"20\" data-height-mobile=\"20\" data-height-tab=\"20\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row gap=&#8221;35&#8243; equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;66704&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<p style=\"font-size: 18px; text-align: justify;\"><span style=\"color: #000000;\">Ultra-widefield photograph in an 8-years-old female patient with deficiency of LCHAD (long-chain 3-hydroxyacil.coA dehydrogenase) secondary to more frequent homozygous mutation in the gene of HADHA. Note the pigmented deposits in the middle and periphery. VA:20\/20 RE.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<p style=\"text-align: justify; font-size: 18px;\"><span style=\"color: #000000;\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-20495 alignleft\" src=\"https:\/\/www.atlasrleye.com\/wp-content\/uploads\/2022\/01\/o02-ti02-21321-20080514-016-300x249.jpg\" alt=\"\" width=\"266\" height=\"221\">Fundus photograph, in same case, showing normal colour disc, normal vasculature and pigmented areas at macular and peripheral retina. It has an abormal accumulation of pigment at the retinal pigment epithelium that develops to scattered areas of RPE atrophy.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h3><span style=\"color: #5f1b52;\">Evaluations<br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][vc_tta_accordion active_section=&#8221;99&#8243; no_fill=&#8221;true&#8221; collapsible_all=&#8221;true&#8221;][vc_tta_section i_icon_fontawesome=&#8221;far fa-calendar-alt&#8221; add_icon=&#8221;true&#8221; title=&#8221;1st Evaluation &#8211; 20 09 2010&#8243; tab_id=&#8221;1643216642951-4cec8c6d-a442&#8243;][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Autofluorescence<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Pattern predominantly hypofluorescent with some areas of normal fluorescence.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;66314,66317&#8243; img_size=&#8221;193&#215;206&#8243; css=&#8221;.vc_custom_1708385196746{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;66296,66293,66284,66281&#8243; img_size=&#8221;207&#215;110&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Colour retinography<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;66308,66311,66290,66287&#8243; img_size=&#8221;251&#215;206&#8243;][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;66299,66302,66305&#8243; img_size=&#8221;251&#215;250&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=&#8221;far fa-calendar-alt&#8221; add_icon=&#8221;true&#8221; title=&#8221;2nd Evaluation &#8211; 17 08 2023&#8243; tab_id=&#8221;1643216906341-4a19c692-6500&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Autofluorescence<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;89904,89908&#8243; img_size=&#8221;251&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Infrared<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;89880,89884&#8243; img_size=&#8221;251&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">RNFL \u2013 Thickness Image<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;89888,89892&#8243; img_size=&#8221;300&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;89912,89916,89920,89924&#8243; img_size=&#8221;307&#215;110&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Colour retinography<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">VA: &lt; 20\/250c RE, 20\/100c LE. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;89896,89900&#8243; img_size=&#8221;251&#215;250&#8243; css=&#8221;.vc_custom_1710715956373{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_custom_heading text=&#8221;RETINAL DYSTROPHIES AND SYNDROMES&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632807269-1444524b-3ed4|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; add_icon=&#8221;true&#8221; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading text=&#8221;LCHAD Deficiency &#8211; Clinical Case 2&#8243; font_container=&#8221;tag:h1|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Flchad-deficiency%2F|title:LCHAD%20DEFICIENCY|&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row gap=&#8221;35&#8243; equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;66704&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text] Ultra-widefield [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":74657,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-74681","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/74681","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/comments?post=74681"}],"version-history":[{"count":16,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/74681\/revisions"}],"predecessor-version":[{"id":105376,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/74681\/revisions\/105376"}],"up":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/74657"}],"wp:attachment":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/media?parent=74681"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}