What Don't You See? - Abstract

Update item information
Identifier walsh_2018_s1_c5-1
Title What Don't You See? - Abstract
Creator James O'Brien, R. Michael Siatkowski
Subject See saw nystagmus; MRI; Optic chiasm; Afferent visual pathways
Presenting Symptom A four-year old male presented for evaluation of abnormal eye movements and strabismus which had been present since approximately 6 weeks of age. He was previously diagnosed with nystagmus, ocular torticollis, and esotropia by another provider. An MRI of the brain was performed at approximately 4 weeks of age. The study was reportedly normal, but it was unavailable for our direct review. He underwent right medial rectus recession and right lateral rectus resection for esotropia at age 3. His parents reported exotropia following this strabismus surgery. His medical history otherwise included valve-sparing repair of Tetralogy of Fallot, repair of esophageal atresia, and tracheoesophageal fistula repair. Examination revealed uncorrected visual acuity of 20/200 OD and 20/100 OS. This was not improved by cycloplegic refraction: +2.00 +1.00 x70 OD and +2.00 +1.00 x105 OS. His pupillary exam and gross visual fields by confrontation were normal. His ocular motility revealed pendular nystagmus with predominantly horizontal waveforms but occasional super-imposed see-saw waveforms as well. He had A-pattern exotropia of 8, 15, and 25 prism diopters in up-, primary-, and down-gaze, respectively, with chin-down head posture. There was bilateral overdepression in adduction on motility testing. Anterior segment and dilated fundus examinations were normal bilaterally. A diagnostic test was ordered. (A video demonstrating his ocular motility will be shown)
Relation is Part of NANOS Annual Meeting 2018: Frank B. Walsh Session 1
Contributor Primary James O'Brien, MD
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2018-03
Format application/pdf
Source 2018 North American Neuro-Ophthalmology Society Annual Meeting
Rights Management Copyright 2018. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s68m1cm6
Setname ehsl_novel_fbw
Date Created 2018-05-02
Date Modified 2022-01-19
ID 1320248
Reference URL https://collections.lib.utah.edu/ark:/87278/s68m1cm6