Bilateral Vision Loss in a Young Patient

UPFRONT Case Section Editor: Larry Frohman, MD Bilateral Vision Loss in a Young Patient %2010%20-%20Bilateral%20Vision%20Loss%20In% 20A%20Young%20Patient.pptx. A n 18-year-old man presents with a 3-month history of sequential, bilateral central, painless vision loss. Examination is relevant for bilateral cecocentral scotoma, acquired vision color abnormalities, and temporal sectoral disc pallor. The differential diagnosis includes demyelinating, autoimmune, compressive, infiltrative, toxic, nutritional, and hereditary optic neuropathies. The case is available to download via the following link: https://journals.lww.com/jneuro-ophthalmology/Documents/JNO%20Upfront%20Cases/UPFRONT%20Case Jorge Cárdenas-Belaunzarán, MD, MSc Octavio Turcio-Aceves, MD Vianney Cortés-González, MD, MSc Neuro-Ophthalmology Department (JC-B, OTA), Asociación para Evitar la Ceguera en México I. A. P., Mexico City, Mexico; and Genetic Ophthalmics Department (VCG), Asociación para Evitar la Ceguera en México I. A. P., Mexico City, Mexico. Fuzzy Side JNO%20Upfront%20Cases/UPFRONT%20Case%2011% 20-%20Fuzzy%20Side.pptx. A 15-year-old girl came to the clinic with complaint of “seeing fuzzy at the side.” The examination revealed a small angle left exophoria at the right gaze and subtle adduction and elevation deficiency in the left eye. Also, there was a lag in her left pupil's reaction to the light. Findings were consistent with a mild third nerve palsy. Imaging showed a cavernous sinus tumor and the following biopsy revealed chondrosarcoma. The clinical photographs, neuroimaging, and pathology will be demonstrated, and the teaching points will be discussed. The case is available to download via the following link: https://journals.lww.com/jneuro-ophthalmology/Documents/ Recurrent Branch Retinal Artery Occlusions A 27-year-old man presented with left eye vision loss and was found to have a superior arcuate scotoma from a branch retinal artery occlusion. The assessment of branch retinal artery occlusion and the studies that led to the underlying etiology of the occlusion in this patient are discussed. The case is available to download via the following link: https://journals.lww.com/jneuro-ophthalmology/Documents/JNO%20Upfront%20Cases/UPFRONT%20Case %2012%20-%20Recurrent%20Branch%20Retinal%20Artery%20Occlusions.pptx UPFRONT Case: J Neuro-Ophthalmol 2022; 42: e527 The authors report no conflicts of interest. Mehdi Tavakoli, MD Danielle R. Isen, DO Aparna Singhal, MD James R. Hackney, MD Departments of Ophthalmology and Visual Sciences (MT, DRI), Radiology, Neuroradiology section (AS) and Pathology (JRH), University of Alabama at Birmingham School of Medicine, Birmingham, Alabama. The authors report no conflicts of interest. Francisco R. Sanchez Moreno, MD Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota; Neuro-ophthalmology of Texas, PLLC, Bellaire, Texas Muhammad Tariq Bhatti, MD John J. Chen, MD, PhD Departments of Ophthalmology and Neurology, Mayo Clinic, Rochester, Minnesota. No funding was received from the National Institutes of Health; Wellcome Trust, Howard Hughes Medical Institute, or other organization. e527 Copyright © North American Neuro-Ophthalmology Society. Unauthorized reproduction of this article is prohibited.