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Soliman NA et al. - The examination for corneal cystine crystals is a simple and specific diagnostic test and proved very useful in diagnosing cystinosis. Nevertheless, leucocyte cystine assay is still needed for suspected children below 20 months who have negative ocular examination. Topical treatment with cysteamine eye drops prevents the progression of corneal deposits and may decrease them in well-compliant children and families. Long term follow up studies are still needed to assess the effects of both systemic and topical cysteamine on the renal and the extra-renal complications in these children.

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