Abstract
The differential diagnosis of a “salt and pepper” fundus includes rubella retinopathy. Because most children with rubella have a constellation of other signs, it is easy to determine the diagnosis. These patients have deafness and cataracts that are present at birth or develop postnatally. The lenses show persistent nucleated epithelial cells in the cortex. Other ocular signs are glaucoma (due to incomplete angle cleavage) and microphthalmos. Systemically, these children may have abnormalities of the brain and heart. It is important that these lenses are removed carefully, as viruses are shed on extraction, which can produce an overwhelming uveitis. Phthisis bulbi may be the sequelae of an uneventful cataract procedure.
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© 1993 Springer Science+Business Media New York
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Orellana, J., Friedman, A.H. (1993). Rubella Retinopathy. In: Clinico-Pathological Atlas of Congenital Fundus Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9320-7_9
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DOI: https://doi.org/10.1007/978-1-4613-9320-7_9
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-9322-1
Online ISBN: 978-1-4613-9320-7
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