| Identifier |
walsh_2015_s1_c2-2 |
| Title |
A Shot in the Dark |
| Creator |
Joshua Pasol |
| 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 wellas 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 includeMultivitamin, Aspirin, Synthroid, Tamsulosin, Omeprazole, Crestor. Drinks wine intermittently andstopped 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 HgOU. 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 micronsrespectively. Testing was later done. |
| Disease/Diagnosis |
Idiopathic Hypertrophic Pachymeningitis mimicking Normal Tension Glaucoma Visual Field loss |
| Date |
2015-02 |
| References |
None. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
47th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2015 |
| Collection |
Neuro-Ophthalmology Virtual Education Library - Walsh Session Annual Meeting Archives https://novel.utah.edu/Walsh/index3.html |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-6215 |
| Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6186449 |
| Setname |
ehsl_novel_fbw |
| ID |
179298 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6186449 |
