An Eye for Eyes: Pediatric Ophthalmologic Diseases on MRI
The orbit is predisposed to a wide range of possible pathologic processes due to a complex histologic and anatomic composition within a confined space. The clinical presentation of orbital pathology is often nonspecific, particularly in young children, making radiologic evaluation an
important step in the diagnosis. Additionally, while suspected ophthalmologic pathology may be the primary purpose for an imaging study, incidental lesions encompassing a broad range of infectious, inflammatory, neoplastic, and congenital processes are not uncommonly encountered and may serve
as important clues to alert the radiologist and clinical team to evaluate other associated pathology. High-resolution MR imaging is the examination of choice for detailed evaluation of orbital and ocular soft tissues, and this article will review characteristic MR imaging features and the
clinical significance of various ophthalmologic pathologies in the pediatric population, while highlighting pearls essential to making accurate imaging diagnoses.
Learning Objective: To recognize the imaging appearance of pediatric orbital disease from major pathologic categories and describe common imaging features
Learning Objective: To recognize the imaging appearance of pediatric orbital disease from major pathologic categories and describe common imaging features
Keywords: ADEM = acute disseminated encephalomyelitis; CHARGE = Coloboma of the eye, Heart defects, Atresia of the choanae, Retardation of growth and/or development, Genital and/or urinary abnormalities, and Ear abnormalities and deafness; CN = cranial nerve; IIH = idiopathic intracranial hypertension; IgG4 = immunoglobulin G4; MOGAD = myelin oligodendrocyte glycoprotein antibody disease; NF1 = neurofibromatosis type I; NSOI = nonspecific orbital inflammation; OPG = optic pathway glioma; PFVS = persistent fetal vasculature syndrome; PHACES = Posterior fossa malformations, Hemangiomas, Arterial abnormalities, Cardiac abnormalities, Eye abnormalities, and Sternal cleft
Document Type: Research Article
Publication date: April 1, 2022
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