Systemic Disorders With Optic Nerve and Retinal Findings

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Identifier 92_26
Title Systemic Disorders With Optic Nerve and Retinal Findings
Creator Joel M. Weinstein, MD
Affiliation Penn State
Contributing Institution AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology Society
Subject Paraneoplastic Disease; Optic Atrophy; Melanoma; Central Scotoma
Description This 46-year-old woman noted progressive bilateral visual loss over a 10-month period. She had a malignant melanoma removed from her right thigh 2 years ago and excisional biopsy of an inguinal node metastasis 8 months ago. She also complained of poor night vision and rare intermittent ""sparkles"" in her visual field. The serum titers were positive for antiretinal antibodies. The fundus photographs show temporal disc pallor and vascular attenuation (Images 92_23 and 92_24). The fields demonstrate large central scotoma in both eyes (extending centrocecally in the right eye) as well as some early loss in the upper and lower arcuate areas (Images 92_25 and 92_26). Pair with 92_23, 92_24, and 92_25. Goldmann visual field
Date 1999
Date Digital 2004
Language eng
Format image/jpeg
Type Image
Source AAO/NANOS Clinical neuro-ophthalmology : image collection for ophthalmic practitioners. American Academy of Ophthalmology [electronic resource], [San Francisco, Calif.] : AAO, c1999.
Relation is Part of Case 61
Collection Neuro-Ophthalmology Virtual Education Library: AAO-NANOS Neuro-Ophthalmology Clinical Collection: https://NOVEL.utah.edu/AAO
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 1999. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6wh5pm0
Setname ehsl_novel_aao_nanos
ID 177014
Reference URL https://collections.lib.utah.edu/ark:/87278/s6wh5pm0
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