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  • Title: Does acute loss of vision in autosomal dominant optic atrophy occur early in childhood?
    Author: Kearns LS, Forrest M, Cohn AC, Churchill AJ, Mackey DA.
    Journal: Ophthalmic Genet; 2010 Mar; 31(1):44-6. PubMed ID: 20141358.
    Abstract:
    PURPOSE: In contrast to Autosomal dominant optic atrophy (ADOA), acute loss of vision is normally observed in Leber's hereditary optic neuropathy (LHON) patients. We present a case of a young child with ADOA with a confirmed OPA1 mutation who appeared to have had an acute visual loss in the third year of life. METHODS: Differentiating between ADOA and LHON requires careful documentation of visual symptoms, family history, clinical examination and genetic testing if available. CONCLUSIONS: This clarifies the clinical diagnosis, ensuring appropriate genetic counselling is provided so that affected individuals are accurately informed on inheritance patterns and implications for family members.
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