Pediatric Ophthalmology

146 8 Congenital Abnormalities of the Optic Nerve

impaired growth, hypoglycemia, seizures, and death. Treatment ● No treatment available to improve the vi sion in ONH ● Correction of refractive errors ● Treatment for superimposed amblyopia ● Surgery for concurrent strabismus or nys tagmus may be considered.

● Consider polycarbonate eye glasses for pro tection of the better-seeing eye.

Prognosis ● Visual acuity is generally nonprogressive. Complications are, in general, related to en docrinopathies and CNS malformations. Al though rare, sudden death has been reported in ONH due to abnormalities in the cortico steroid hormonal axis.

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