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Children will also have the opportunity to improve their counting skills with our counting worksheets for kindergarten which feature worksheets having objects and shapes that teach children how to count and fill out the correct answer. After laying this foundation, children will learn how to apply such skills in subtraction word problems. Additionally children will learn how to subtract above ten in some cases children will learn how to subtract while borrowing across places. There are worksheets which initiate children to the concept using colorful pictures of objects like toys and fruits or shapes that are cancelled out to show different subtraction scenarios. This page also contains subtraction worksheets for kindergarten in which children will learn basic tricks of subtraction. The skills learned will build a solid foundation for more advanced addition problems that will be studied in higher levels. 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Patients with X-linked RP (5-15%) have the most severe disease3. The severity of disease can be correlated with the mendelian inheritance pattern. Fundus autofluorescence (FAF) showed extensive hypo-autofluorescence surrounding the vascular arcades and extending into the retinal periphery with hyper-autofluorescence in the macula OU (figure 4). Fluorescein angiography (FA) showed normal filling time with extensive window defects and blockage corresponding to the bone spicules and vascular attenuation, there was no leakage (figure 3). Spectral domain optical coherence tomography (SD-OCT) revealed loss of the ellipsoid zone and outer retina OU, but more so OD (figure 2). There was significant vascular attenuation OU as well as optic nerve pallor OU (figure 1). Examination of the posterior segment revealed scattered bone spicules throughout the periphery OU (figure 1). ![]() The anterior segment examination was unremarkable outside of trace nuclear sclerosis in both eyes (OU). The intraocular pressure (IOP) was 18 mm Hg OD and 22 mm Hg OS. The patient’s Snellen acuity was 20/50 in the right eye (OD) with pinhole improvement to 20/25 and 20/30 in the left eye (OS) with pinhole improvement to 20/25. The past medical history was positive for hypertension. The patient has no known history of any eye issues, and no family ocular history. A 62 year old M presents with blurry vision in both eyes and difficulty seeing at night. |
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