Identifier |
walsh_2015_s1_c2 |
Title |
A Shot in the Dark |
Creator |
Joshua Pasol, Ricardo J. Komotar, Faisal Yamani |
Subject |
Optic Neuropathy, Autoimmune Diseases, Cupped Optic Nerve, MRI, Visual Field |
History |
A 74 year-old man with a chief complaint of difficulty with night time driving for several years as well as difficulty going from a lighted room to a dark room. PMH of high cholesterol, BPH, hypothyroidism, GERD, glottic squamous cell cancer without recurrence, and a prior history of alcoholism. POHx: cataract extraction right eye and AMD. Medications include Multivitamin, Aspirin, Synthroid, Tamsulosin, Omeprazole, Crestor. Drinks wine intermittently and stopped drinking after possible DT's. He owns a bar. His initial exam VA: 20/25 OU, normal IHCP, CFVF: OD constricted, OS normal. Pupils with no APD but were sluggish. IOP's 13 mm Hg OU. Motility showed some slight decreased abduction OU: 5ET primary, 10ET left, 5ET right gazes. SLE: PCIOL OD, NS cataract OS. Optic nerves had 0.7 cups with difficulty in appreciating any pallor. He had a few RPE macular changes OU. The HVF appeared reliable with severe constriction OD>OS (MD -29 and -17 respectively). RNFL OCT showed a mean thickness of 69 and 61 microns respectively. Testing was later done. |
Format |
application/pdf |
Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2015 |
Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
Holding Institution |
North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416 |
ARK |
ark:/87278/s6zk8d8n |
Contributor Primary |
Joshua Pasol; Ricardo J. Komotar; Faisal Yamani |
Setname |
ehsl_novel_fbw |
ID |
179252 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6zk8d8n |