Identifier |
walsh_2015_s1_c2-1 |
Title |
A Shot in the Dark |
Creator |
Joshua Pasol; Ricardo Komotar; Feisal Yamani |
Affiliation |
(JP) Bascom Palmer Eye Institute Miami, FL; (RK) (FY) University of Miami Miller school of Medicine Miami, FL |
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. |
Disease/Diagnosis |
Idiopathic Hypertrophic Pachymeningitis mimicking Normal Tension Glaucoma Visual Field loss |
Date |
2015-02 |
References |
None. |
Language |
eng |
Format |
video/mp4 |
Type |
Image/MovingImage |
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 84112-6241 |
Rights Management |
Copyright 2015. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6cp01hz |
Setname |
ehsl_novel_fbw |
ID |
179272 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6cp01hz |