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Ophthalmology Vascular Disorders 35c4b61e

Cherry red spot in retina is a feature of:

A
Infantile Gaucher's disease
B
Niemann Pick disease
C
Fabry's disease
D
CRVO
High-Yield Explanation
Ans: B (Niemann Pick disease) Ref: Kanski 7th edition Clinical ophthalmology,, pg no 683-684Explanation:Causes of cherry red spot:Central retinal artery occlusionBlunt injury - Berlin's edeme or commotion retinaeQuinine toxicityMacular holeGangliosidosisMucolipidosisTay Sachs diseaseSandhoff diseaseNiemann Pick diseaseFaber diseaseMechanism of Cherry red spotThe fovea is the thinnest part of the retina & is devoid of ganglion cell layer.The following mechanisms causes cherry red spotWhen the retina becomes opaque due to edema (CRAO)Injury to the photoreceptors (Commotion retina)Due to intracellular accumulation of glvcolipids & phospholipids in the ganglion cellThe fovea remains transparent & transmits the underlying choroid.This appears as cherry red spot.

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