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Review the stated learning objectives on the first page of the CME article and determine if these objectives match your individual learning needs.
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Method for Obtaining Credit Certificate
Your answers will be graded and you will receive a certificate via mail within 4 to 6 weeks advising you whether you have passed or failed. A score of at least 80% is required to pass. Unanswered questions will be considered incorrect.
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Vindico Medical Education and the Journal of Pediatric Ophthalmology & Strabismus. Vindico Medical Education is accredited by the ACCME to provide continuing medical education for physicians.
Vindico Medical Education designates this journal-based educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity is approved for credit from the original date of release, March 1, 2012, through the expiration date of March 15, 2013.
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Unlabeled and Investigational Usage
The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage.
This CME activity is primarily targeted to pediatric ophthalmologists and ophthalmic surgeons. There are no specific background requirements for participants taking this activity.
Parents bring a 6-year-old girl with nystagmus to the office to determine whether glasses would help her vision and to find out what her visual prognosis is. The examination shows reduced vision, iris transillumination, and foveal hypoplasia.
What is the most likely diagnosis?
What is the natural progression of visual acuity in this condition?
Blindness by age 10 years.
Slow deterioration over several decades.
Likely some improvement over early school years.
Resolution of nystagmus and improvement of best-corrected visual acuity to 20/20.
Which of the following shows a strong correlation with change in best-corrected visual acuity?
Amount of iris transillumination.
Amplitude of nystagmus.
Visible choroidal vessels in macula.
Melanin pigment in the macular retinal pigment epithelium.
All of the following are true of this disorder EXCEPT:
Children will not wear glasses because they have no improvement in visual acuity with correction.
Children are often photosensitive.
The phenotype is variable.
An autosomal recessive inheritance pattern is more common than X-linked inheritance.